{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T19:30:15Z","timestamp":1766518215071,"version":"3.48.0"},"reference-count":29,"publisher":"Informa UK Limited","issue":"3","license":[{"start":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T00:00:00Z","timestamp":1752883200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Post Reprod Health"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To reduce waiting time in PMB clinics, and patient journey on Single cancer pathway.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Differential triage based on risk stratification in USC PMB clinics. Patients with true PMB and with unscheduled bleeding on HRT with risk factors triaged to 2WW. Those with unscheduled bleeding on HRT without risk factors to 6WW clinic. Introduced from March 2024 onwards. Data analysed over 4\u00a0months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>One stop PMB clinics, Large DGH in Newport, Wales Population: Aneurin Bevan Health board Hospitals with a population of 600,000.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Time to first outpatient appointment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nine hundred and two referrals. 48.22% were not on HRT. 49.88 % were on HRT. 20.44% were on HRT with risk factors. The first outpatient appointment improved from 17.6% in April to 64.6% (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .0001) in September. Patients breaching the Single Cancer Pathway went down from 11 in April to 2 in September. 88% patients discharged after the FOA. One hundred and ninety-two (21.28%) had a hysteroscopy polypectomy. Forty-four cancers in the true PMB group and 1 cancer in the HRT group. There was no difference in the average BMI between the cancer and benign patients. Patients with endometrial cancer were significantly older (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .0001***).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Differential triage has reduced the waiting times in PMB clinics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20533691251355846","type":"journal-article","created":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T12:25:16Z","timestamp":1752927916000},"page":"188-196","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Differential triage in the postmenopausal bleed clinic; getting it right the first time, effect on single cancer pathway"],"prefix":"10.1080","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9313-7094","authenticated-orcid":false,"given":"Leena","family":"Gokhale","sequence":"first","affiliation":[{"name":"Aneurin Bevan University Health Board, Newport, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Edwards","sequence":"additional","affiliation":[{"name":"Aneurin Bevan University Health Board, Newport, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracey","family":"Jones","sequence":"additional","affiliation":[{"name":"Aneurin Bevan University Health Board, Newport, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"301","published-online":{"date-parts":[[2025,7,19]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"Cancer Research UK. Uterine cancer statistics. Available from: https:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancertype\/uterine-cancer\/incidence#heading-One"},{"key":"e_1_3_4_3_2","unstructured":"World Cancer Research Fund\/American Institute for Cancer Research. Continuous update project expert report 2018. Diet nutrition physical activity and endometrial cancer. 2018."},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-036222"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16618"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1995.tb09066.x"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.2820"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.3399\/BJGPO.2022.0126"},{"key":"e_1_3_4_9_2","unstructured":"Management of unscheduled bleeding on hormone replacement therapy (HRT)on behalf of the British Menopause Society in partnership with the British Society of Gynaecological Endoscopy British Gynaecological Cancer Society Faculty of Sexual & Reproductive Healthcare Getting It Right First Time (GIRFT) Royal College of General Practitioners and the Royal College of Obstetricians & Gynaecologists."},{"key":"e_1_3_4_10_2","unstructured":"Demography and migration in Wales Census 2021. Unrounded population and household estimates including overview of the non-UK born population and characteristics of households and residents in Wales from 2021 Census.Wales.Gov.Uk."},{"key":"e_1_3_4_11_2","unstructured":"SIGN. Scottish intercollegiate guidelines network: investigation of postmenopausal bleeding: a national clinical guideline 2002 21st November 2023. 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