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Table 3 Throughput times and hospital visits, pre- and post-MFDC

From: Multidisciplinary first-day consultation accelerates diagnostic procedures and throughput times of patients in a head-and-neck cancer care pathway, a mixed method study

 

Pre

Post

Significance

2007 (n = 21)

2008 (n = 20)

2010 (n = 24)

2013 (n = 24)

p ANOVA

pair wise comparison

Throughput time (days)

 

Mean (SD)

Mean (SD)

Mean (SD)

Mean (SD)

  

 Access first consultation

6.0 (7.5*)

5.9 (3.9)

4.9 (3.5)

7.7 (8.0)

.592

–

 Diagnostic procedures

20.6 (10.6)

11.4 (7.4)

8.7 (5.6)

13.0 (8.0)

<.000

2007–2008: .013; 2007–2010: .000; 2007–2013: .049

 Start first treatment

32.6 (13.8)

22.2 (9.2*)

23.7 (8.4)

29.3 (11.3)

.009

2007–2008: .038

Number hospital visits

 Diagnostic procedures

3.0 (1.7)

2.2 (0.7*)

1.7 (0.7)

3.0 (1.3)

<.000

2007–2010: .014; 2008–2013: .049; 2010–2013: .001

 Diagnosis to start Treatment

2.1 (1.5)

1.4 (0.9*)

2.4 (1.9)

3.1 (2.2)

.032

2008–2013: .012

 Total

5.1 (1.7)

3.6 (1.0*)

4.1 (2.1)

6.0 (2.3)

<.000

2007–2008: .006; 2008–2013: .000; 2010–2013: .021

Start treatment within 30 days

52%

83%

71%

54%

.132

2007–2008: .040

  1. Legend Table 3. Access first consultation; throughput time from ‘date of the letter of referral’ to ‘intake in oncology front office’, diagnostic procedures; throughput time from ‘first consultation’ to ‘decision in multidisciplinary meeting of the head & neck cancer centre’, start first treatment; ‘throughput time form first consultation’ to ‘start first primary treatment’. Hospital visits are measured during the diagnostic procedures, and from diagnosis to start treatment, and in total
  2. *= number of patients is 19, because one patient was treated elsewhere after receiving the diagnostic plan