Costs and benefits of a one stop clinic compared with a dedicated breast clinic: randomised controlled trial.

2.50
Hdl Handle:
http://hdl.handle.net/10541/80213
Title:
Costs and benefits of a one stop clinic compared with a dedicated breast clinic: randomised controlled trial.
Authors:
Dey, Paola; Bundred, Nigel J; Gibbs, Alan R; Hopwood, Penelope; Baildam, Andrew D; Boggis, C; James, Marilyn; Knox, W Fiona; Leidecker, Vicki; Woodman, Ciaran B J
Abstract:
OBJECTIVE: To determine the cost to the NHS and the impact on anxiety of a one stop clinic for assessing women with suspected breast cancer. STUDY DESIGN: Randomised controlled trial. Participants: Women aged 35 or over referred with a breast lump. STUDY SETTING: Teaching hospital, north west England. INTERVENTIONS: Women were randomly allocated to attend a one stop clinic or a dedicated breast clinic. OUTCOME MEASURES: Reduction in mean anxiety from baseline at 24 hours after the first visit and at 3 weeks and 3 months after diagnosis; mean cost per patient. RESULTS: 670 women were randomised. Compared with women who attended the dedicated clinic, patients attending the one stop clinic were less anxious 24 hours after the visit (adjusted mean change in state anxiety _5.7 (95% confidence interval _8.4 to _3.0)) but not at 3 weeks or 3 months after diagnosis. The additional cost to the NHS of a one stop attendance was pound 32 per woman; this was largely explained by greater cytopathological and radiological staff costs. CONCLUSION: One stop clinics may not be justified in terms of a reduction in short term anxiety.
Affiliation:
Centre for Cancer Epidemiology, University of Manchester, Manchester M20 4QL, UK. paola.dey@cce.man.ac.uk
Citation:
Costs and benefits of a one stop clinic compared with a dedicated breast clinic: randomised controlled trial. 2002, 324 (7336):507 BMJ
Journal:
BMJ
Issue Date:
2-Mar-2002
URI:
http://hdl.handle.net/10541/80213
PubMed ID:
11872547
Type:
Article
Language:
en
ISSN:
1468-5833
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorDey, Paola-
dc.contributor.authorBundred, Nigel J-
dc.contributor.authorGibbs, Alan R-
dc.contributor.authorHopwood, Penelope-
dc.contributor.authorBaildam, Andrew D-
dc.contributor.authorBoggis, C-
dc.contributor.authorJames, Marilyn-
dc.contributor.authorKnox, W Fiona-
dc.contributor.authorLeidecker, Vicki-
dc.contributor.authorWoodman, Ciaran B J-
dc.date.accessioned2009-09-08T08:54:58Z-
dc.date.available2009-09-08T08:54:58Z-
dc.date.issued2002-03-02-
dc.identifier.citationCosts and benefits of a one stop clinic compared with a dedicated breast clinic: randomised controlled trial. 2002, 324 (7336):507 BMJen
dc.identifier.issn1468-5833-
dc.identifier.pmid11872547-
dc.identifier.urihttp://hdl.handle.net/10541/80213-
dc.description.abstractOBJECTIVE: To determine the cost to the NHS and the impact on anxiety of a one stop clinic for assessing women with suspected breast cancer. STUDY DESIGN: Randomised controlled trial. Participants: Women aged 35 or over referred with a breast lump. STUDY SETTING: Teaching hospital, north west England. INTERVENTIONS: Women were randomly allocated to attend a one stop clinic or a dedicated breast clinic. OUTCOME MEASURES: Reduction in mean anxiety from baseline at 24 hours after the first visit and at 3 weeks and 3 months after diagnosis; mean cost per patient. RESULTS: 670 women were randomised. Compared with women who attended the dedicated clinic, patients attending the one stop clinic were less anxious 24 hours after the visit (adjusted mean change in state anxiety _5.7 (95% confidence interval _8.4 to _3.0)) but not at 3 weeks or 3 months after diagnosis. The additional cost to the NHS of a one stop attendance was pound 32 per woman; this was largely explained by greater cytopathological and radiological staff costs. CONCLUSION: One stop clinics may not be justified in terms of a reduction in short term anxiety.en
dc.language.isoenen
dc.subjectBreast Canceren
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshAmbulatory Care-
dc.subject.meshAnxiety-
dc.subject.meshBreast Neoplasms-
dc.subject.meshCost-Benefit Analysis-
dc.subject.meshCosts and Cost Analysis-
dc.subject.meshFemale-
dc.subject.meshGreat Britain-
dc.subject.meshHumans-
dc.subject.meshMammography-
dc.subject.meshMedical Staff, Hospital-
dc.subject.meshMiddle Aged-
dc.subject.meshOutpatient Clinics, Hospital-
dc.subject.meshPatient Satisfaction-
dc.subject.meshState Medicine-
dc.subject.meshTime Factors-
dc.subject.meshUltrasonography, Mammary-
dc.titleCosts and benefits of a one stop clinic compared with a dedicated breast clinic: randomised controlled trial.en
dc.typeArticleen
dc.contributor.departmentCentre for Cancer Epidemiology, University of Manchester, Manchester M20 4QL, UK. paola.dey@cce.man.ac.uken
dc.identifier.journalBMJen

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