Table 3 Use of primary-care investigations and the NICE guideline referral category based on clinical presentation, by cancer

From: Impact of investigations in general practice on timeliness of referral for patients subsequently diagnosed with cancer: analysis of national primary care audit data

   

GP investigations performed

 

Action specified by NICE guidelines under NICE CG27 based on patient characteristics and clinical presentation

All N

N

%

Colorectal

Mandated referral under NICE guidelines (or good clinical practice)

208

99

47.6

 

Possible referral under NICE guidelines

1105

581

52.6

 

Mandated investigation under NICE guidelines

200

90

45.0

 

Possible investigation under NICE guidelines

0

  
 

No action under NICE guidelines

598

374

62.5

Ovarian

Mandated referral under NICE guidelines (or good clinical practice)

31

12

38.7

 

Possible referral under NICE guidelines

5

0

 
 

Mandated investigation under NICE guidelines

26

16

61.5

 

Possible investigation under NICE guidelines

0

  
 

No action under NICE guidelines

283

212

74.9

Lung

Mandated referral under NICE guidelines (or good clinical practice)

76

39

51.3

 

Possible referral under NICE guidelines

0

  
 

Mandated investigation under NICE guidelines

223

195

87.4

 

Possible investigation under NICE guidelines

916

779

85.0

 

No action under NICE guidelines

279

187

67.0

Oesophageal

Mandated referral under NICE guidelines (or good clinical practice)

328

121

36.9

 

Possible referral under NICE guidelines

9

0

0.0

 

Mandated investigation under NICE guidelines

0

  
 

Possible investigation under NICE guidelines

69

36

52.2

 

No action under NICE guidelines

107

63

58.9

Pancreatic

Mandated referral under NICE guidelines (or good clinical practice)

79

59

74.7

 

Possible referral under NICE guidelines

100

65

65.0

 

Mandated investigation under NICE guidelines

0

  
 

Possible investigation under NICE guidelines

0

  
 

No action under NICE guidelines

148

122

82.4

Stomach

Mandated referral under NICE guidelines (or good clinical practice)

92

45

48.9

 

Possible referral under NICE guidelines

21

15

71.4

 

Mandated investigation under NICE guidelines

0

  
 

Possible investigation under NICE guidelines

40

26

65.0

 

No action under NICE guidelines

93

62

66.7

  1. Abbreviations: GP=general practitioner; NICE=National Institute for Health and Care Excellence.