{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T01:47:34Z","timestamp":1789696054639,"version":"4.0.1"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2024,6]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>This study analyses outcomes for 660 patients managed via a novel telescopic pathway for suspected head and neck cancer referrals.<\/jats:p><\/jats:sec>Method<\/jats:title>Data were collected prospectively between January 2021 and December 2022, capturing all two-week-wait referrals triaged as low risk and managed via a nurse-led clinic for nasendoscopic examination and consultant-led remote assessment.<\/jats:p><\/jats:sec>Results<\/jats:title>In total, 660 patients were included. There were six head and neck cancers diagnosed, giving a conversion rate of 0.9 per cent. Mean (standard deviation) time to informing the patient whether they did or did not have cancer (28-day faster diagnosis standard) was 28.6 days (20.2), with no significant difference observed in patients imaged prior to review (p<\/jats:italic> = 0.63). No missed cancers were detected in the follow-up period.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Low-risk head and neck cancer referrals can be safely managed in a nurse-led clinic for recorded examination with asynchronous consultant-led management. Further work is required to ensure adherence to the new faster diagnosis standard.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s002221512400015x","type":"journal-article","created":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T06:28:10Z","timestamp":1705645690000},"page":"667-671","source":"Crossref","is-referenced-by-count":9,"title":["A novel remote assessment pathway to streamline the management of two-week-wait suspected head and neck cancer referrals: a prospective analysis of 660 patients"],"prefix":"10.1017","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8790-2722","authenticated-orcid":false,"given":"Christopher","family":"Metcalfe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soo","family":"Oh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Glazzard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Ross","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajith","family":"George","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,1,19]]},"reference":[{"key":"S002221512400015X_ref2","unstructured":"2 NHS England Faster diagnosis. In: https:\/\/www.england.nhs.uk\/cancer\/faster-diagnosis\/ [18 October 2021]"},{"key":"S002221512400015X_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2023.02.007"},{"key":"S002221512400015X_ref8","unstructured":"8 The Royal Marsden NHS Foundation Trust. EVEREST-HN and the head and neck cancer pathway. In: https:\/\/www.royalmarsden.nhs.uk\/everest-hn\/everest-hn-and-head-and-neck-cancer-pathway [12 April accessed 2023]"},{"key":"S002221512400015X_ref5","unstructured":"5 Cancer Research UK. Head and neck cancers incidence statistics. In: https:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/head-and-neck-cancers\/incidence#ref-10 [12 April 2023]"},{"key":"S002221512400015X_ref1","unstructured":"1 British Association of Head and Neck Oncologists Statement on Covid-19 In: https:\/\/bahno.org.uk\/bahno_statement_on_covid-19.aspx [20 July 2021]"},{"key":"S002221512400015X_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13511"},{"key":"S002221512400015X_ref3","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.721"},{"key":"S002221512400015X_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121002061"},{"key":"S002221512400015X_ref7","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33800"},{"key":"S002221512400015X_ref9","unstructured":"9 Digital Health London. Developing telemedicine for head and neck cancer triage. In: https:\/\/digitalhealth.london\/developing-telemedicine-for-head-and-neck-cancer-triage [4 October 2022]"},{"key":"S002221512400015X_ref10","doi-asserted-by":"publisher","DOI":"10.1038\/s41416-021-01386-x"}],"container-title":["The Journal of Laryngology & Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S002221512400015X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T12:16:29Z","timestamp":1715688989000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S002221512400015X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,19]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["S002221512400015X"],"URL":"https:\/\/doi.org\/10.1017\/s002221512400015x","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,19]]}}}