Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective : results from a prospective intervention study. / Liedberg, Fredrik; Gerdtham, Ulf; Gralén, Katarina; Gudjonsson, Sigurdur; Jahnson, Staffan; Johansson, Irene; Hagberg, Oskar; Larsson, Staffan; Lind, Anna-Karin; Löfgren, Annica; Wanegård, Jenny; Åberg, Hanna; Nilbert, Mef.

In: B J C, Vol. 115, No. 7, 27.09.2016, p. 770-775.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Liedberg, F, Gerdtham, U, Gralén, K, Gudjonsson, S, Jahnson, S, Johansson, I, Hagberg, O, Larsson, S, Lind, A-K, Löfgren, A, Wanegård, J, Åberg, H & Nilbert, M 2016, 'Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study', B J C, vol. 115, no. 7, pp. 770-775. https://doi.org/10.1038/bjc.2016.265

APA

Liedberg, F., Gerdtham, U., Gralén, K., Gudjonsson, S., Jahnson, S., Johansson, I., Hagberg, O., Larsson, S., Lind, A-K., Löfgren, A., Wanegård, J., Åberg, H., & Nilbert, M. (2016). Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study. B J C, 115(7), 770-775. https://doi.org/10.1038/bjc.2016.265

Vancouver

Liedberg F, Gerdtham U, Gralén K, Gudjonsson S, Jahnson S, Johansson I et al. Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study. B J C. 2016 Sep 27;115(7):770-775. https://doi.org/10.1038/bjc.2016.265

Author

Liedberg, Fredrik ; Gerdtham, Ulf ; Gralén, Katarina ; Gudjonsson, Sigurdur ; Jahnson, Staffan ; Johansson, Irene ; Hagberg, Oskar ; Larsson, Staffan ; Lind, Anna-Karin ; Löfgren, Annica ; Wanegård, Jenny ; Åberg, Hanna ; Nilbert, Mef. / Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective : results from a prospective intervention study. In: B J C. 2016 ; Vol. 115, No. 7. pp. 770-775.

Bibtex

@article{bd0de2fcf97148f0becf66279fe90f57,
title = "Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study",
abstract = "BACKGROUND: The delay between onset of macroscopic haematuria and diagnosis of bladder cancer is often long.METHODS: We evaluated timely diagnosis and health-care costs for patients with macroscopic haematuria given fast-track access to diagnostics. During a 15-month period, a telephone hotline for fast-track diagnostics was provided in nine Swedish municipalities for patients aged ⩾50 years with macroscopic haematuria. The control group comprised 101 patients diagnosed with bladder cancer in the same catchment area with macroscopic haematuria who underwent regular diagnostic process.RESULTS: In all 275 patients who called 'the Red Phone' hotline were investigated, and 47 of them (17%) were diagnosed with cancer and 36 of those had bladder cancer. Median time from patient-reported haematuria to diagnosis was 29 (interquartile range (IQR) 14-104) days and 50 (IQR 27-165) days in the intervention and the control group, respectively (P=0.03). The median health-care costs were lower in the intervention group (655 (IQR 655-655) EUR) than in the control group (767 (IQR 490-1096) EUR) (P=0.002).CONCLUSIONS: Direct access to urologic expertise and fast-track diagnostics is motivated for patients with macroscopic haematuria to reduce diagnostic intervals and lower health-care expenditures.",
author = "Fredrik Liedberg and Ulf Gerdtham and Katarina Gral{\'e}n and Sigurdur Gudjonsson and Staffan Jahnson and Irene Johansson and Oskar Hagberg and Staffan Larsson and Anna-Karin Lind and Annica L{\"o}fgren and Jenny Waneg{\aa}rd and Hanna {\AA}berg and Mef Nilbert",
year = "2016",
month = sep,
day = "27",
doi = "10.1038/bjc.2016.265",
language = "English",
volume = "115",
pages = "770--775",
journal = "The British journal of cancer. Supplement",
issn = "0007-0920",
publisher = "nature publishing group",
number = "7",

}

RIS

TY - JOUR

T1 - Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective

T2 - results from a prospective intervention study

AU - Liedberg, Fredrik

AU - Gerdtham, Ulf

AU - Gralén, Katarina

AU - Gudjonsson, Sigurdur

AU - Jahnson, Staffan

AU - Johansson, Irene

AU - Hagberg, Oskar

AU - Larsson, Staffan

AU - Lind, Anna-Karin

AU - Löfgren, Annica

AU - Wanegård, Jenny

AU - Åberg, Hanna

AU - Nilbert, Mef

PY - 2016/9/27

Y1 - 2016/9/27

N2 - BACKGROUND: The delay between onset of macroscopic haematuria and diagnosis of bladder cancer is often long.METHODS: We evaluated timely diagnosis and health-care costs for patients with macroscopic haematuria given fast-track access to diagnostics. During a 15-month period, a telephone hotline for fast-track diagnostics was provided in nine Swedish municipalities for patients aged ⩾50 years with macroscopic haematuria. The control group comprised 101 patients diagnosed with bladder cancer in the same catchment area with macroscopic haematuria who underwent regular diagnostic process.RESULTS: In all 275 patients who called 'the Red Phone' hotline were investigated, and 47 of them (17%) were diagnosed with cancer and 36 of those had bladder cancer. Median time from patient-reported haematuria to diagnosis was 29 (interquartile range (IQR) 14-104) days and 50 (IQR 27-165) days in the intervention and the control group, respectively (P=0.03). The median health-care costs were lower in the intervention group (655 (IQR 655-655) EUR) than in the control group (767 (IQR 490-1096) EUR) (P=0.002).CONCLUSIONS: Direct access to urologic expertise and fast-track diagnostics is motivated for patients with macroscopic haematuria to reduce diagnostic intervals and lower health-care expenditures.

AB - BACKGROUND: The delay between onset of macroscopic haematuria and diagnosis of bladder cancer is often long.METHODS: We evaluated timely diagnosis and health-care costs for patients with macroscopic haematuria given fast-track access to diagnostics. During a 15-month period, a telephone hotline for fast-track diagnostics was provided in nine Swedish municipalities for patients aged ⩾50 years with macroscopic haematuria. The control group comprised 101 patients diagnosed with bladder cancer in the same catchment area with macroscopic haematuria who underwent regular diagnostic process.RESULTS: In all 275 patients who called 'the Red Phone' hotline were investigated, and 47 of them (17%) were diagnosed with cancer and 36 of those had bladder cancer. Median time from patient-reported haematuria to diagnosis was 29 (interquartile range (IQR) 14-104) days and 50 (IQR 27-165) days in the intervention and the control group, respectively (P=0.03). The median health-care costs were lower in the intervention group (655 (IQR 655-655) EUR) than in the control group (767 (IQR 490-1096) EUR) (P=0.002).CONCLUSIONS: Direct access to urologic expertise and fast-track diagnostics is motivated for patients with macroscopic haematuria to reduce diagnostic intervals and lower health-care expenditures.

U2 - 10.1038/bjc.2016.265

DO - 10.1038/bjc.2016.265

M3 - Journal article

C2 - 27560554

VL - 115

SP - 770

EP - 775

JO - The British journal of cancer. Supplement

JF - The British journal of cancer. Supplement

SN - 0007-0920

IS - 7

ER -

ID: 173987040