Reimagining the diagnostic pathway for gastrointestinal cancer
Greg Rubin, Fiona Walter, Jon Emery, Niek de Wit
NATURE REVIEWS GASTROENTEROLOGY & HEPATOLOGY | NATURE PUBLISHING GROUP | Published : 2018
A crisis is looming for the diagnosis of gastrointestinal cancers, one grounded only partly in the steady increase in their overall incidence. Public demand for diagnostic tests to be undertaken early and at lower levels of risk is reflected in early diagnosis being a widely held policy objective for reasons of both clinical outcome and patient experience. In the UK, urgent referrals for suspected lower gastrointestinal cancer have increased by 78% in the past 6 years, with parallel increases in endoscopy and imaging activity. Such growth in demand is unsustainable with current models of care. If gastrointestinal cancer diagnosis is to be affordable, the roles of professionals and their inte..View full abstract
Awarded by Cancer Research UK
This research arises from the CanTest Collaborative (Cancer diagnostic testing in primary care: a paradigm shift for cancer diagnosis), which is funded by Cancer Research UK (award number C8640/23385). G.R., F.W. and J.E. are members of the CanTest Collaborative; N.de.W. is a member of the CanTest external stakeholder group. J.E. is funded by an Australian National Health and Medical Research Council Practitioner Fellowship.