Original statement for R1 | Common themes in comments | Revised statement for R2 |
Statement 3 R1 consensus 72% If a child or young person (CYP) warrants another appointment for the same problem, the timing of this review should comply with national diagnosis of all cancers (currently, diagnosis or all clear should be given to the patient within 4 weeks). | Comments
| R2 consensus 89.8% Any healthcare professional deciding to review a patient to diagnose or exclude cancer should ensure that the timing of the review does not exceed the national 4-week limit to access a diagnostic test and obtain the result. |
Statement 8 R1 consensus 69.1% Discuss concerns with a secondary healthcare professional before referring a CYP from primary care in which the differential diagnosis includes a possible tumour (low index of suspicion) to ensure the CYP is seen within 2 weeks. | Comments
| R2 consensus 89.6% Discuss concerns over the telephone with the consultant paediatrician hotline or local equivalent service before referring a CYP from primary care in which differential diagnosis includes a possible tumour to ensure the CYP is seen within the most suitable time frame (ideally within 2 weeks). |
Statement 19 R1 consensus 66% Measure and plot height and weight measurements for CYP with signs or symptoms suggestive of a bone tumour on age-appropriate growth charts. | Comments
| R2 consensus 88.36% Be aware that weight loss can be a sign of a bone or abdominal tumour. Measure weight and compare to any previous measurements in CYP with signs or symptoms suggestive of a bone or abdominal tumour. Plot these measurements on age-appropriate growth charts if available to you to monitor change when reviewing symptoms. |
Statement 53 Round 1 consensus 60.9% Request ultrasound imaging of the abdomen and kidneys for persistent (occurring on most days for a 2-week period) abdominal pain of unknown cause. | Comments
| R2 consensus 77.9% Request ultrasound imaging of the abdomen and pelvis for new persistent abdominal pain (occurring on most days for a 2-week period) of unknown cause where there is another symptom present from the checklist. |
R1, round 1; R2, round 2.