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Clinical Trial
. 2002 Mar 2;324(7336):507.

Costs and benefits of a one stop clinic compared with a dedicated breast clinic: randomised controlled trial

Paola Dey  1 , Nigel Bundred, Alan Gibbs, Penny Hopwood, Andrew Baildam, Caroline Boggis, Marilyn James, Fiona Knox, Vicki Leidecker, Ciarán Woodman
Affiliations
Clinical Trial

Costs and benefits of a one stop clinic compared with a dedicated breast clinic: randomised controlled trial

Paola Dey et al. BMJ. .

Abstract

Objective: To determine the cost to the NHS and the impact on anxiety of a one stop clinic for assessing women with suspected breast cancer.

Study design: Randomised controlled trial.

Participants: Women aged 35 or over referred with a breast lump.

Study setting: Teaching hospital, north west England.

Interventions: Women were randomly allocated to attend a one stop clinic or a dedicated breast clinic.

Outcome measures: Reduction in mean anxiety from baseline at 24 hours after the first visit and at 3 weeks and 3 months after diagnosis; mean cost per patient.

Results: 670 women were randomised. Compared with women who attended the dedicated clinic, patients attending the one stop clinic were less anxious 24 hours after the visit (adjusted mean change in state anxiety _5.7 (95% confidence interval _8.4 to _3.0)) but not at 3 weeks or 3 months after diagnosis. The additional cost to the NHS of a one stop attendance was pound 32 per woman; this was largely explained by greater cytopathological and radiological staff costs.

Conclusion: One stop clinics may not be justified in terms of a reduction in short term anxiety.

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References

    1. Cancer Guidance Subgroup of the Clinical Outcomes Group. Improving outcomes in breast cancer. The manual. Leeds: NHS Executive; 1996.
    1. Harcourt D, Ambler N, Rumsey N, Cawthorn S. Evaluation of a one-stop breast clinic: a randomised controlled trial. Breast. 1998;7:314–319.
    1. Gui GP, Allum WH, Perry NH, Wells CA, Curling OM, McLean A, et al. One stop diagnosis for symptomatic breast disease. Ann R Coll Surg Engl. 1995;77:24–27. - PMC - PubMed
    1. Eltahir A, Jibril JA, Squair J, Heys SD, Ah-See AK, Needham G, et al. The accuracy of “one stop” diagnosis for 1110 patients presenting to a symptomatic breast clinic. J R Coll Surg Edinb. 1999;44:226–230. - PubMed
    1. BASO Breast Specialty Group. The British Association of Surgical Oncology guidelines for surgeons in the management of symptomatic breast disease in the UK (1998 revision) Eur J Surg Oncol. 1998;24:464–476. - PubMed

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