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首页> 外文期刊>ANZ journal of surgery >One‐stop thyroid nodule clinic with same‐day fine‐needle aspiration cytology improves efficiency of care
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One‐stop thyroid nodule clinic with same‐day fine‐needle aspiration cytology improves efficiency of care

机译：用同日细针穿刺细胞学的一站式甲状腺结节诊所提高了护理效率

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Background Thyroid nodules are a common presenting complaint for endocrine surgeons; many require ultrasound‐guided fine‐needle aspiration cytology ( US‐FNAC ). In an attempt to streamline our service, we introduced same‐day surgeon‐performed US‐FNAC in 2014. Methods Three groups were defined: (A) retrospective group with FNAC performed in radiology prior to August 2014; (B) prospective radiology FNAC group; and (C) prospective surgeon‐performed group. Demographics, nodule characteristics, pathology and management plans were recorded. The number and dates of hospital attendances were extracted from the patient information system. Results Over 4?years, 635 patients underwent 757 FNACs . There were 438 patients in group A, 78 in group B and 119 in group C. Patient demographics and nodule size were similar between groups. Those patients undergoing FNAC in endocrine surgery clinic required two visits prior to receiving a diagnosis and management plan, compared with three visits for those performed in radiology. Non‐diagnostic rates between three groups were 6.5%, 7.4% and 5.4% ( P ?=?0.842) whilst malignant FNAC results occurred in 3%, 4% and 8% ( P ?=?0.015) respectively. Median time from US‐FNAC to definitive management plan was 42, 41 and 14?days ( P ??0.001). The introduction of the one‐stop clinic resulted in a 41% reduction of patients attending the radiology department for FNAC . Conclusion Surgeon‐performed US‐FNAC decreases the time from fine‐needle aspiration request to definitive plan and reduces the number of patient visits, providing more efficient care. Patients referred to the endocrine surgery clinic with thyroid nodules have thyroid cancer more frequently than patients referred to radiology.
机译：背景技术甲状腺结节是内分泌外科医生的常见申诉;许多需要超声引导的细针穿刺细胞学（US-FNAC）。为了简化我们的服务，我们在2014年推出了同日外科医生的UN-FNAC。方法定义了三组：（a）在2014年8月之前的FNAc进行了FNAC的回顾基团; （b）未来放射学FNAC组;和（c）潜在外科医生的组。记录了人口统计学，结节特征，病理和管理计划。从患者信息系统中提取了医院出勤的数量和日期。结果超过4年，635名患者介绍了757个FNAC。 A组，B组中有438名患者，B组和119组在C组中。患者人口统计和结节尺寸相似。在接受诊断和管理计划之前，在内分泌外科诊所中进行FNAC的患者在接受诊断和管理计划之前进行了两次访问，而对于在放射学中进行的三次访问。三组之间的非诊断率为6.5％，7.4％和5.4％（P？= 0.842），而恶性FNAC结果分别发生在3％，4％和8％（P？= 0.015）中发生。从US-FNAC到最终管理计划的中位数是42,41和14？天（P？＆？0.001）。一站式诊所的引入导致参加FNAC放射科的患者减少了41％。结论外科医生的UN-FNAC降低了从微针觉醒请求到最终计划的时间，减少了患者访问的数量，提供更有效的护理。患有甲状腺结节的内分泌手术诊所的患者比提到放射学的患​​者更频繁地具有甲状腺癌。

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