A novel 2-week wait lung cancer pathway starting with a telephone consultation, with patient satisfaction survey results from the first 111 patients showed high satisfaction of about 93% of the telephonic consultation.
The survey was performed in May 2018 in a collaboration with local general practitioners (GP). GP first examined computed tomography (CT) of the chest or abdomen and blood tests simultaneously. The patients were provided telephonic appointments with respiratory consultants.
After taking the history of the patient and results from CT and blood tests, the patients were examined further. If the patient was found fine after a lung cancer diagnosis, he stood reassured and discharged.
The patients with some comorbidities were then sent for a face-to-face consultation and further examine the fitness level.
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BSG consensus guidelines on the management of inflammatory bowel disease in adults are:
- Terms, clinical characteristics, and diagnosis
- Imaging-based investigations
- Surgery and acute, severe UC are all included in active UC treatment (ASUC)
- Treatment for Crohn's disease in remission (ileal, ileocolonic, colonic, jejunal, upper GI, perianal)
- Continuing care for Crohn's illness
- Crohn's disease surgery (including non-perianal fistulising disease)
- Mesalazines, corticosteroids, thiopurines, methotrexate, ciclosporin, anti-TNF, vedolizumab, ustekinumab, tofacitinib, and antibiotics are typical medication classes to be taken into account.
- Medication levels, drug toxicity/immunogenicity, pre-treatment infection screening, and vaccination are all examples of therapeutic monitoring.
- Non-drug treatments such as stem cell transplantation and leucocyte apheresis.
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