Effect of the UK government's 2-week target on waiting times in women with breast cancer in southeast England
2003

Impact of the UK's 2-Week Target on Breast Cancer Waiting Times

Sample size: 5750 publication 10 minutes Evidence: moderate

Author Information

Author(s): Robinson D, Bell C M J, Møller H, Basnett I

Primary Institution: Thames Cancer Registry, Guy's King's and St Thomas' School of Medicine

Hypothesis

Did the introduction of a 2-week maximum wait for breast cancer assessment improve waiting times for treatment?

Conclusion

The introduction of the 2-week wait target significantly improved referral waiting times but led to longer treatment waits, leaving total waiting times relatively unchanged.

Supporting Evidence

  • Referral wait times improved significantly after the introduction of the 2-week target.
  • Treatment wait times increased, leading to unchanged total wait times.
  • Older patients had shorter referral waits due to screening.
  • High throughput hospitals had better performance in meeting referral targets.

Takeaway

The UK government set a rule to see breast cancer patients quickly, which helped some but made others wait longer for treatment.

Methodology

Data was collected from 28 hospitals in London and surrounding areas, analyzing waiting times for breast cancer patients before and after the 2-week target was implemented.

Potential Biases

Potential bias due to exclusion of hospitals with poorer data quality.

Limitations

The study only included hospitals that consistently provided high-quality data, which may bias the results.

Participant Demographics

Women diagnosed with breast cancer in southeast England, with a focus on age and treatment type.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1038/sj.bjc.6601149

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