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This table based on NICE USC recommendations provides clear guidelines for healthcare professionals on when to consider an urgent referral or diagnostic testing for pancreatic cancer, based on patient age and specific symptoms or findings. The guidance emphasizes the importance of early diagnostic procedures for those presenting with indicators suggestive of potential pancreatic malignancy, aiming to facilitate timely diagnosis and appropriate treatment.
Guidance Item | Criteria for Referral or Diagnostic Action | Patient Group | Recommended Action | Timeline | Symptoms/Findings |
---|---|---|---|---|---|
Pancreatic Cancer 1.2.4 | Aged 40 and over with jaundice | Aged 40 and over | Suspected cancer pathway referral | - | Jaundice |
Pancreatic Cancer 1.2.5 | Aged 60 and over with weight loss and any of the following symptoms: diarrhoea, back pain, abdominal pain, nausea, vomiting, constipation, new-onset diabetes | Aged 60 and over | Urgent, direct access CT scan (or urgent ultrasound if CT not available) | Within 2 weeks | Weight loss, diarrhoea, back pain, abdominal pain, nausea, vomiting, constipation, new-onset diabetes |
Terminology used by NICE
Term | Definition |
---|---|
Children | From birth to 15 years. |
Children and young people | From birth to 24 years. |
Consistent with | The finding has characteristics that could be caused by many things, including cancer. |
Direct access | When a test is done and primary care retain clinical... |
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