NICE 2ww referral criteria Flashcards
2ww for lung cancer if:
CXR suggests lung cancer
>40y + unexplained haemoptysis
Offer 2-week CXR to >40y with 2+ of:
unexplained
Cough Fatigue Shortness of breath Chest pain Weight loss Appetite loss
Offer 2-week CXR to ever-smokers with 1+ of:
unexplained
Cough Fatigue Shortness of breath Chest pain Weight loss Appetite loss
Consider 2-week CXR if >40y with:
Persistent/recurrent LRTI Clubbing Supraclavicular LN Persistent cervical LN Suspicious chest signs Thrombocytosis
2ww for mesothelioma if:
CXR suggests mesothelioma
Offer 2-week CXR to >40y with asbestos exposure + 1+ unexplained:
Cough Fatigue Shortness of breath Chest pain Weight loss Appetite loss
Consider 2-week CXR to >40y with
Clubbing
Chest signs of pleural disease
Dysphagia
Offer 2-week direct-access OGD
Offer urgent direct-access OGD to >55y with weight loss and:
- Upper abdo pain
- Reflux
- Dyspepsia
Haematemesis
Consider non-urgent direct-access OGD
> 55 + treatment-resistant dyspepsia
Consider non-urgent direct-access OGD
> 55 + upper abdo pain + low Hb
Consider non-urgent direct-access OGD
Consider non-urgent OGD in >55y with raised platelets and
- nausea
- vomiting
- weight loss
- reflux
- dyspepsia
- upper abdo pain
Consider non-urgent OGD in >55y with nausea/vomiting and
- weight loss
- reflux
- dyspepsia
- upper abdo pain
2ww referral for pancreatic cancer if:
> =40y + jaundice
Consider urgent direct-access CT (pancreas) if >=60 with weight loss and:
Diarrhoea Back pain Abdo pain Nausea/vomiting Constipation New-onset diabetes
Upper abdo mass
Consider 2ww Referral
gastric
Upper abdo mass consistent with enlarged gall bladder
Consider 2-week direct-access US
Upper abdo mass consistent with enlarged liver
Consider 2-week direct-access US
liver
> 40y + unexplained weight loss + abdo pain
2ww Referral
colorectal
> 50y + unexplained rectal bleeding
2ww Referral (colorectal)
> 60y + iron-deficiency anaemia
2ww Referral
colorectal
> 60y + change in bowel habit
2ww Referral
colorectal
Tests show occult blood in faeces
2ww referral - colorectal
Rectal or abdominal mass
Consider referral via 2ww suspected cancer pathway (colorectal)
Consider 2ww referral if <50y + rectal bleeding +
Abdo pain
Change in bowel habit
Weight loss
IDA
Offer FIT to >50y (with no rectal bleeding) if have:
Unexplained abdo pain
Unexplained weight loss
<60 without rectal bleeding.
Offer FIT if:
Change in bowel habit
IDA
> 60 + non-iron-deficient anaemia
Offer FIT
Unexplained anal mass/ulceration
Consider referral via 2ww suspected cancer pathway (anal)
2ww referral for breast cancer if >30y with
Unexplained breast lump with/without pain
2ww referral for breast cancer if >50y with
Unilateral nipple discharge
Unilateral nipple retraction
Other changes of concern
Skin changes suggest breast cancer
Consider 2ww referral
> 30y + unexplained axillary lump
Consider 2ww referral
breast
<30y + unexplained breast lump (with/without pain)
Consider non-urgent referral for breast cancer
