Haematological cancers: improving outcomes. A summary of updated NICE service guidance in relation to Specialist Integrated Haematological Malignancy Diagnostic Services (SIHMDS)

In modern clinical practice, the diagnosis of haematological malignancies requires the application of a range of laboratory techniques, including morphology, flow cytometry, cytogenetics and molecular pathology. Subsequent disease classification requires correlation with knowledge of the clinical manifestations in individual patients and application of the current WHO classification system, updated in 2016. Employing an integrated approach in this manner can lead to improved accuracy and timeliness of diagnosis, which is highly likely to lead to improved outcomes for patients.

In 2016, the National Institute for Health and Care Excellence (NICE) Improving Outcomes in Haematological Malignancies was updated following the original 2003 guidance. The NICE committee evaluated various models of delivery of integrated laboratory services, and consequently made recommendations which form the basis of quality standards for current and future development of Specialist Integrated Haematological Malignancy Diagnostic Services (SIHMDS). Snowden et al present a summary of the systematic review of the…

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