185 Improving Care and Outcomes with One-Stop Haematuria Clinic
G Klyvyte, M Fernandes, A Nelson- Surgery
Abstract
Aim
To compare the outcomes of pre and post implementation of a Faster Diagnostic Standard (FDS) at 28 and 62 days before and after implementation of the One-Stop Haematuria Clinic in James Paget University Hospital.
Method
The data for the retrospective audit was collected from the Somerset cancer registry and Ullyses. All patients referred on 2 week-wait haematuria pathways were included from July 2020-October 2020 (pre-implementation of the one-stop clinic, n = 132) and from September 2021 – January 2022 (post-implementation of the one-stop clinic, n = 269). The data points were 2 week-wait, referral to flexible cystoscopy, imaging, 28-day and 62-day targets. The data was analysed using unpaired T-test.
Results
Following implantation of the one-stop clinic, the mean number of days for referral to flexible cystoscopy reduced from 27 to 19 (p<0.0001) and referral to imaging reduced from 27 to 19 (p<0.0001). The mean number of days to reach 28-day target decreased from 47 to 31 (p<0.0001). Days from referral to TURBT (Transurethral Resection of Bladder Tumour) decreased from 61 to 57 (p = 0.60). The patients meeting the 62-day target of TURBT as FDT increased from 66% to 83% (p = 0.35).
Conclusions
The introduction to one-stop haematuria clinic led to shorter time from referral to flexible cystoscopy, imaging and diagnosis. However, time from referral to TURBT was similar. A greater percentage of patients met the 62-day target of TURBT as FDT. Therefore, one stop haematuria clinics provide a more efficient diagnostic pathway for this group of patients.