Nigel Heaton, a professor of transplant surgery at King's College hospital in London, says: "Nationally and internationally, waiting lists are growing because more people are being referred for this therapy.
In a response to the McGivern family, a Betsi Cadwaladr University Health Board spokesperson said: "We aim to see all patients referred for this type of scan within eight weeks of referral and we are very sorry that Amy had to wait so long to be seen.
Thirty SSc patients from the Harbor-UCLA Rheumatology clinic, not clinically suspected of having significant pulmonary vascular disease, were referred for this prospective study.
Children meeting clinical or immunological staging criteria for starting antiretroviral therapy were referred for this.
14 In contrast, only 16% of the surgeons referred patients routinely for psychological screening and 39% never referred for this purpose at all.
Cole et al looked at heart rate recovery following maximum treadmill stress testing in patients referred for this investigation and therefore presumably presenting with cardiac symptoms and signs.
In addition, the pre-assessment procedure and use of services before children were referred for this operation were considered using information from both a questionnaire to parents and access to referral and consultation notes.
All cases, however, met internationally accepted definitions of paediatric tuberculosis and all would, if seen purely in a clinical setting in South Africa, have been placed onto full chemotherapy (all were referred for this reason).
When a more patient centred approach is adopted in all aspects of the referral and dispensing process we can then evaluate whether more patients chose to be referred for this footwear, and choose to wear the footwear.
If they are also referred for colonoscopy, this might add an extra 100 people to the pool of patients investigated, without adding any more cancers, so that the cancer prevalence is now only 1.5%.
