| pubmed-article:19471276 | rdf:type | pubmed:Citation | lld:pubmed |
| pubmed-article:19471276 | lifeskim:mentions | umls-concept:C1550235 | lld:lifeskim |
| pubmed-article:19471276 | lifeskim:mentions | umls-concept:C0205282 | lld:lifeskim |
| pubmed-article:19471276 | lifeskim:mentions | umls-concept:C0011900 | lld:lifeskim |
| pubmed-article:19471276 | lifeskim:mentions | umls-concept:C0040223 | lld:lifeskim |
| pubmed-article:19471276 | lifeskim:mentions | umls-concept:C0728907 | lld:lifeskim |
| pubmed-article:19471276 | lifeskim:mentions | umls-concept:C0020042 | lld:lifeskim |
| pubmed-article:19471276 | lifeskim:mentions | umls-concept:C1704775 | lld:lifeskim |
| pubmed-article:19471276 | lifeskim:mentions | umls-concept:C0023981 | lld:lifeskim |
| pubmed-article:19471276 | lifeskim:mentions | umls-concept:C1272745 | lld:lifeskim |
| pubmed-article:19471276 | lifeskim:mentions | umls-concept:C0750491 | lld:lifeskim |
| pubmed-article:19471276 | pubmed:issue | 12 | lld:pubmed |
| pubmed-article:19471276 | pubmed:dateCreated | 2009-6-10 | lld:pubmed |
| pubmed-article:19471276 | pubmed:abstractText | The aim of the study was to achieve earlier diagnosis of malignant cord compression (MCC) using urgent magnetic resonance imaging (MRI) for selected patients. A comparison was carried out of the current prospective audit of 100 patients referred by a general practitioner or a consultant over 32 months with both a previous national Clinical Research and Audit Group (CRAG) prospective audit (324 cases of MCC) and an earlier retrospective audit of 104 patients referred with suspected MCC. A telephone hotline rapid-referral process for patients with known malignancy and new symptoms (severe nerve root pain +/- severe back pain) was designed. Patients were considered for urgent MRI after discussion with a senior clinician responsible for the hotline. Appropriate referrals were discussed with radiology and oncology ensuring timely MRI reporting and intervention. The main outcome measures are as follows: time from referral to diagnosis; time from the onset of symptoms to diagnosis; and mobility at diagnosis. A total of 50 patients (52%) of those scanned had either MCC (44) or malignant nerve root compression (6) compared with the earlier rate of 23 out of 104 patients (22%). Ten out of 44 MCC patients (23%) were paralysed at diagnosis, compared with 149 out of 324 (46%) in the CRAG audit. Time from reporting pain to diagnosis was 32 days compared with 89 days in the CRAG audit. Median time from referral to diagnosis was 1 day, again considerably shorter than the CRAG audit time of 15 days (interquartile (IQ) range: 3-66). In patients at risk of MCC, fast-track referral with rapid access to MRI reduces time between symptom onset and diagnosis, improves mobility at diagnosis and reduces the number of negative MRI scans. | lld:pubmed |
| pubmed-article:19471276 | pubmed:commentsCorrections | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:19471276 | pubmed:commentsCorrections | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:19471276 | pubmed:commentsCorrections | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:19471276 | pubmed:commentsCorrections | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:19471276 | pubmed:commentsCorrections | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:19471276 | pubmed:commentsCorrections | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:19471276 | pubmed:commentsCorrections | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:19471276 | pubmed:commentsCorrections | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:19471276 | pubmed:commentsCorrections | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:19471276 | pubmed:commentsCorrections | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:19471276 | pubmed:commentsCorrections | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:19471276 | pubmed:language | eng | lld:pubmed |
| pubmed-article:19471276 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:19471276 | pubmed:citationSubset | IM | lld:pubmed |
| pubmed-article:19471276 | pubmed:status | MEDLINE | lld:pubmed |
| pubmed-article:19471276 | pubmed:month | Jun | lld:pubmed |
| pubmed-article:19471276 | pubmed:issn | 1532-1827 | lld:pubmed |
| pubmed-article:19471276 | pubmed:author | pubmed-author:DewarJJ | lld:pubmed |
| pubmed-article:19471276 | pubmed:author | pubmed-author:MunroA JAJ | lld:pubmed |
| pubmed-article:19471276 | pubmed:author | pubmed-author:BakerLL | lld:pubmed |
| pubmed-article:19471276 | pubmed:author | pubmed-author:AllanLL | lld:pubmed |
| pubmed-article:19471276 | pubmed:author | pubmed-author:GrantR MRM | lld:pubmed |
| pubmed-article:19471276 | pubmed:author | pubmed-author:HoustonJ GJG | lld:pubmed |
| pubmed-article:19471276 | pubmed:author | pubmed-author:LevackPP | lld:pubmed |
| pubmed-article:19471276 | pubmed:author | pubmed-author:McLeayTT | lld:pubmed |
| pubmed-article:19471276 | pubmed:author | pubmed-author:EljamelSS | lld:pubmed |
| pubmed-article:19471276 | pubmed:issnType | Electronic | lld:pubmed |
| pubmed-article:19471276 | pubmed:day | 16 | lld:pubmed |
| pubmed-article:19471276 | pubmed:volume | 100 | lld:pubmed |
| pubmed-article:19471276 | pubmed:owner | NLM | lld:pubmed |
| pubmed-article:19471276 | pubmed:authorsComplete | Y | lld:pubmed |
| pubmed-article:19471276 | pubmed:pagination | 1867-72 | lld:pubmed |
| pubmed-article:19471276 | pubmed:dateRevised | 2010-9-27 | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:meshHeading | pubmed-meshheading:19471276... | lld:pubmed |
| pubmed-article:19471276 | pubmed:year | 2009 | lld:pubmed |
| pubmed-article:19471276 | pubmed:articleTitle | Suspected malignant cord compression - improving time to diagnosis via a 'hotline': a prospective audit. | lld:pubmed |
| pubmed-article:19471276 | pubmed:affiliation | Department of Palliative Medicine, Ninewells Hospital, Dundee DD1 9SY, Scotland, UK. | lld:pubmed |
| pubmed-article:19471276 | pubmed:publicationType | Journal Article | lld:pubmed |
| pubmed-article:19471276 | pubmed:publicationType | Case Reports | lld:pubmed |
| pubmed-article:19471276 | pubmed:publicationType | Research Support, Non-U.S. Gov't | lld:pubmed |
