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Persistent Unilateral Sore Throat: Should It Be Included in the 2-Week Wait Referral Criteria by NICE.
- Source :
-
International Journal of Otolaryngology . 5/5/2019, p1-6. 6p. - Publication Year :
- 2019
-
Abstract
- Design and Setting. A retrospective study was conducted on all 2WW referrals made to our tertiary head and neck centre in a 12-month period. Methods. Sensitivity, specificity, and PPV of presenting complaints in H&N cancer diagnosis using Excel® and the statistical package SPSS®. Results. The sensitivity and specificity of 2005 NICE guidelines in detecting H&N cancers were 91.2% and 59%, respectively; their PPV was 9%. The sensitivity and specificity of 2015 NICE guidelines were 75.4% and 71%, respectively; their PPV was 10.3%. Eight out of 85 patients who presented with unilateral sore throat for more than 4 weeks, with or without otalgia and normal otoscopy, had H&N cancer (PPV 9.5%). Conclusions. Although the 2015 NICE guidelines have a high rate in detecting H&N cancers, consideration of reincluding unilateral sore throat in the referral criteria might be necessary. [ABSTRACT FROM AUTHOR]
- Subjects :
- *THROAT diseases
*TECHNICAL specifications
*CANCER diagnosis
*CANCER
*OTOSCOPY
Subjects
Details
- Language :
- English
- ISSN :
- 16879201
- Database :
- Academic Search Index
- Journal :
- International Journal of Otolaryngology
- Publication Type :
- Academic Journal
- Accession number :
- 136236211
- Full Text :
- https://doi.org/10.1155/2019/4920514