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Do rhinology care pathways in primary care influence the quality of referrals to secondary care?

Published online by Cambridge University Press:  12 March 2013

N Su ,
P P Cheang  and
H Khalil
N Su*
Affiliation:
Department of Otolaryngology, James Cook University Hospital, Middlesbrough
P P Cheang
Affiliation:
Department of Otolaryngology, Derriford Hospital, Plymouth, UK
H Khalil
Affiliation:
Department of Otolaryngology, Derriford Hospital, Plymouth, UK
*
Address for correspondence: Miss N Su, 52 Creekview Rd, South Woodham Ferrers, CM3 5YL, UK Fax: 01245 322897 E-mail: nsu@doctors.org.uk
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Abstract

Background:

Chronic sinusitis is the most common routine presentation for a general ENT surgeon. The 2007 ‘Primary Care Guidelines: European Position Paper on the Primary Care Diagnosis and Management of Rhinosinusitis and Nasal Polyps’ aimed to deliver evidence-based guidelines for the diagnosis and management of rhinosinusitis in specialist and primary care.

Objective:

The aim of this audit was to assess the information provided in the referral letters to the ENT department regarding patients with potential rhinosinusitis, and compare this to the information required for the rhinology care pathways.

Method:

We evaluated one month of referrals to the ENT department.

Results:

The quality of information in the referral letters was poor. Only 22 per cent of patient referrals included basic information about symptoms, duration and treatment.

Conclusion:

We plan to investigate why general practitioners are not complying with the pathway. In addition, the pathways will be more widely disseminated via the ‘Map of Medicine’ (an online resource for general practitioners). This should facilitate the receipt of the best evidence-based treatment for patients prior to referral to secondary care.

Keywords

Primary HealthcareRhinitisSinusitisPractice Guidelines as Topic
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 4 , April 2013 , pp. 364 - 367
Copyright
Copyright © JLO (1984) Limited 2013

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References

1Jones, NS. The prevalence of allergic rhinitis and nasal symptoms in Nottingham. Clin Otolaryngol 1998;23:547–54CrossRefGoogle ScholarPubMed
2Xue, T, Qui, J, Qiao, L, Lu, L, Deng, Z, Chen, F et al. Retrospective analysis of 1062 cases consulted by an otolaryngology chief resident [in Chinese]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2007;21:786–9Google ScholarPubMed
3Khalil, H, Nunez, DA. Functional endoscopic sinus surgery for chronic rhinosinusitis. Cochrane Database Syst Rev 2006;(3):CD004458CrossRefGoogle ScholarPubMed
4Thomas, M, Yawn, B, Price, D, Lund, V, Mullol, J, Fokkens, W. EPOS Primary Care Guidelines: European Position Paper on the Primary Care Diagnosis and Management of Rhinosinusitis and Nasal Polyps 2007 - a summary. Prim Care Respir J 2008;17:79–89CrossRefGoogle ScholarPubMed
5Fokkens, W, Lund, V, Mullol, J. European position paper on rhinosinusitis and nasal polyps 2007. Rhinol Suppl 2007;45:1–136Google ScholarPubMed
6Melén, I. Chronic sinusitis: clinical and pathophysiological aspects. Acta Otolaryngol 1994;515:45–8CrossRefGoogle ScholarPubMed
7Map of Medicine. In: http://www.mapofmedicine.com/.Google Scholar