I thought the only Diagnostic cancer test involved a piece of tissue
under the microscope. If the GPs want to do colectomies and send them to
pathology. I'm sure the surgeons will be over-joyed. The patients may
not be too keen on the lack of anaesthetist during the op however.




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-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of David Robertshaw
Sent: 12 January 2011 16:38
To: [log in to unmask]
Subject: Re: GPs to be allowed to request cancer tests directly


Are X-rays and MRI scans "diagnostic"??

                                 David
                                   

>>> Douglas Thompson <[log in to unmask]> 12/01/11 13:53:20

>>> >>>
The important word here is 'diagnostic'.  Most tumour markers are not
diagnostic tests!  We do not allow GPs to request tumour markers because
of the number of false positives that would be found.  Better to use the
diagnostic tests to find the tumour and the markers for follow-up.

Douglas



Dr D Thompson
Clinical Biochemistry and Immunology
The General Infirmary
Leeds  LS1 3EX
Tel 0113 3926503

Please visit our web-site at www.leedsteachinghospitals.com 

>>> Jonathan Kay <[log in to unmask]> 12/1/11 13:00 >>>
http://www.telegraph.co.uk/health/healthnews/8253974/Cancer-GPs-given-po
wers-to-help-save-5000-lives.html 

"GPs will be able to send patients directly for diagnostic tests such as
X-rays to help diagnose lung cancer, ultrasounds to detect ovarian,
liver and pancreatic cancers; colonoscopies for bowel cancer and MRI
scans to aid brain cancer diagnosis."

As suspected, no mention of laboratory investigations, probably because
they are already available to GPs everywhere as "open access"... or are
they?

But how many of the investigations above are also available as "open
access" to GPs? In Oxfordshire some are, but others require referral
first.

Jonathan


On 12 Dec 2010, at 12:42, Jonathan Kay wrote:

> http://www.bbc.co.uk/news/health-11970799
> 
> What does this mean: are these investigations not open-access already?

> They are in Oxfordshire...
> 
> Jonathan
> 
> 
> 
> 
> 


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