Health
Researchers say the GP should not refer patients with breast pain to investigate cancer
Researchers say the GP can feel “relieved” that it is not necessary to refer a woman who has only breast pain to investigate cancer.
A large study conducted by researchers at the University of Manchester NHS Foundation Trust, the University of Manchester, and the University of Exeter found that there was “no association” between breast pain and breast cancer.
The referral of a woman who suffers only from breast pain concludes that “it is not cost-effective and can cause delays in women with high-risk symptoms.”
And the researchers said the results “should encourage a review of health policies for the care of women with only breast pain.”
An analysis of 10,830 symptomatic females referred to a breast cancer diagnostic clinic for over a year found that only 0.4% of women with breast pain symptoms actually had breast cancer.
Of the 10,830 women, 18% had breast pain, 62% had lumps, 4% had nipple symptoms, and 15% had other symptoms.
Papers published in British Journal of General Practice (BJGP) states:
“Using the’breast lump’as a criterion, the odds ratio for women who mentioned breast pain with breast cancer was 0.05 (95% confidence interval = 0.02 to 0.09, P <0.001). "
Researchers point out that referrals have increased by almost 100% over the last decade, and recent audits show that women with breast pain make up more than 20% of participants in breast outpatient services. ..
The researchers commented: ‘Breast pain is common and is not a sign of breast cancer. Females and general practitioners need to reassure this discovery. It is not necessary to regularly refer a woman with breast pain to a cancer diagnosis clinic.
Dr. Gary Howsam, vice chairman of the RCGP, said the findings “should save patients suffering from breast pain alone, which is unlikely to be a sign of cancer.”
He states: ‘Such medical research is essential to improve the timeliness and accuracy of cancer diagnosis.
Therefore, it is important to consider this study as clinical guidelines are developed or updated. This ensures that the GP is deciding whether or not a referral is needed based on the latest evidence.
“Overall, GP does a good job of identifying and properly referencing cancer, and after one or two GP consultations, about 75% of cancers are diagnosed, which is even more helpful. It’s about improving access to diagnostics in the community, and with the right staff and training. Use them. “
Comes as a recently reported trust 40-day indicator waiting for an urgent breast cancer referral..
And the government suggested that patients who think they might have cancer can do it. Introduce yourself for investigation without the need for GP referral..
NICE Guidance for Breast Cancer Diagnosis
1.4 Breast cancer
1.4.1 Introduce people who are using Suspected introduction of cancer route (For reservations within 2 weeks) For breast cancer:
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Over 30 years old Unexplained Breast lump with or without pain Also
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Only one nipple has one of the following symptoms: Over 50:
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Other concerns. [2015]
1.4.2Consider the case where you suspect a cancer route referral (reservation within 2 weeks) for people with breast cancer.
1.4.3examination Not urgent Referrals to people under the age of 30 who have unexplained breast lumps with or without pain. See also Recommendations 1.16.2 and 1.16.3 for information on how to seek expert advice. [2015]
sauce: good
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