Research Article

Persistent Unilateral Sore Throat: Should It Be Included in the 2-Week Wait Referral Criteria by NICE

Table 2

Cancer detection rate in patients referred through 2 ww pathway and compliant with NICE guidelines.

Symptoms Frequency (%) Cancer positive Included in 2005
NICE guidelines
Included in 2015 NICE guidelinesPPV (%)

Neck lump: new or persisting for > 3 weeks27019.8%32YesYes12.2%

Hoarseness Persisting for > 3 weeks14711.1%10YesYes6.8%

Persistent painful sore throat13710%9YesNo6.5%

Unilateral neck pain and otalgia with normal otoscopy231.3%1YesNo4.3%

Total577529%