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In the fast track (wait list) design all patients have the possibility to receive the service, some immediately, and others after a wait (equivalent to a normal wait for NHS services).
Since instituting the fast-track system, wait time has decreased by two hours on average.
This is the first time a fast track (or wait list) randomised trial has been reported in palliative care.
We analysed recruitment, compliance and follow-up data of a fast track (or wait list control) randomised controlled trial of a new palliative care service – a design not previously used to assess palliative care.
Patients were randomised to the fast-track group (FT) or the waiting list group (WL) by the clinical trials' team sequentially opening sealed opaque numbered envelopes containing the random group allocation previously generated by a computer programme at King's College London (KCL).
Our results are in keeping with previous findings that suggest fast-track referrals may perversely lengthen waiting times for some patients routinely referred for suspected breast cancer (Potter et al, 2007) and may prioritise those with advanced disease in lung cancer, who are more likely to have 'red flag' symptoms (Allgar et al, 2006).
They could either refer patients to 1) an X-ray, 2) the Department of Pulmonary Medicine within the normal waiting list, or 3) the lung cancer fast-track pathway with a maximum of 72 h' waiting time.
We hypothesise (a) that advice to maintain usual activities while awaiting physiotherapy will be superior than advice to rest the arm; and (b) that fast-track physiotherapy will be superior to normal (waiting list) physiotherapy.
Consenting patients newly referred to the new service were randomised to either receive the palliative care service immediately (fast-track) or after a 12-week wait (standard best practice).
* unblinded to wrong group Seven patients were randomised to the fast-track (FT) group and seven to the waiting list (WL) group.
The "hollowness of the much-touted fast-track court stands exposed" as many rape victims still wait for justice, she writes in the Hindustan Times.
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