Performance and standards for the process of head and neck cancer care: South and West audit of head and neck cancer 1996–1997 (SWAHN I)
2000

Head and Neck Cancer Care Audit in the UK

Sample size: 566 publication Evidence: moderate

Author Information

Author(s): Birchall M A, Bailey D, Lennon A

Primary Institution: University Department of Otolaryngology Head and Neck Surgery, Southmead Hospital, Bristol, UK

Hypothesis

There is wide variation in cancer care between different hospitals in the UK.

Conclusion

The study found major discrepancies between actual performance and established standards in head and neck cancer care.

Supporting Evidence

  • 59% of patients received a pretreatment chest X-ray, which is below the standard of 95%.
  • 45% of patients were seen in a multidisciplinary clinic pretreatment, also below the standard of 95%.
  • The median number of cases treated per surgeon was 4, indicating variability in treatment volume.

Takeaway

This study looked at how well hospitals in the UK are treating head and neck cancer and found that many are not meeting the expected standards.

Methodology

A prospective, 1 year regional study comparing key performance measures with established standards for 28 hospital Trusts.

Limitations

The study only included data from 1996-1997 and may not reflect current practices.

Participant Demographics

Patients with newly-diagnosed head and neck cancer.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1302

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