International Journal of Otolaryngology / 2019 / Article / Tab 2

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%


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