Quality statement 2: Ultrasound

Quality statement

Women with raised CA125 have an ultrasound of their abdomen and pelvis within 2 weeks of receiving the CA125 test results.

Quality measure

Structure: Evidence of local arrangements to ensure all women with raised CA125 have an ultrasound of their abdomen and pelvis within 2 weeks of receiving the CA125 test results.

Process: Proportion of women with raised CA125 who have an ultrasound of their abdomen and pelvis within 2 weeks of receiving the CA125 test results.

Numerator – the number of women in the denominator who have an ultrasound of their abdomen and pelvis within 2 weeks of receiving the CA125 test results.

Denominator – the number of women with raised CA125.

What the quality statement means for each audience

Service providers ensure systems are in place for women with raised CA125 to have an ultrasound of their abdomen and pelvis within 2 weeks of receiving the CA125 test results. To meet the 2-week timescale, service providers ensure systems are in place for ultrasounds to be arranged directly from primary care.

Healthcare professionals ensure women with raised CA125 have an ultrasound of their abdomen and pelvis within 2 weeks of receiving the CA125 test results.

Commissioners ensure they commission services that provide an ultrasound of the abdomen and pelvis within 2 weeks of receiving the test results for women with raised CA125.

Women with raised CA125 levels in their blood have an ultrasound scan of their abdomen and pelvis within 2 weeks of receiving the results of their blood test.

Source guidance

NICE clinical guideline 122 recommendations 1.1.2.2 (key priority for implementation) and 1.2.3.1.

The Royal College of Radiologists. iRefer: Making the best use of clinical radiology: referral guidelines recommendation CA42 diagnosis (US).

Data source

Structure: Local data collection.

Process: Local data collection. Contained in NICE audit support for ovarian cancer (NICE clinical guideline 122): primary care, criteria 5.

Definitions

Raised CA125 is defined as 35 IU/ml or greater.