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Announcements and latest updates

Welcome to the Right Decision Service (RDS) newsletter for August 2024.

  1. Contingency planning for RDS outages

Following the recent RDS outages, Tactuum and the RDS team have been reviewing the learning from these incidents. We are committed to doing all we can to ensure a positive outcome by strengthening the RDS to make it fully robust and clinically resilient for the future.

We would like to invite you to a webinar on 26th September 3-4 pm on national and local contingency planning for future RDS outages.  Tactuum and the RDS team will speak about our business continuity plans and the national contingency arrangements we are putting in place. This will also be a space to share local contingency plans, ideas and existing good practice. We would also like to gather your views on who we should send communications to in the event of future outages.

I have sent a meeting request for this date to all editors – please accept or decline to indicate attendance, and please forward on to relevant contacts. You can also contact Olivia.graham@nhs.scot directly to register your interest in participating.

 

2.National  IV fluid prescribing  calculator

This UK CA marked calculator is now live at https://righdecisions.scot.nhs.uk/ivfluids  . It has been developed by a multiprofessional steering group of leads in IV fluids management, as part of the wider Modernising Patient Pathways Programme within the Centre for Sustainable Delivery.  It aims to address a known cause of clinical error in hospital settings, and we hope it will be especially useful to the new junior doctors who started in August.

Please do spread the word about this new calculator and get in touch with any questions.

 

  1. New toolkits

The following toolkits are now live;

  1. Updated guidance on current and future Medical Device Regulations

We have updated and simplified this guidance within our standard operating procedures. We have clarified the guidance on how to determine whether an RDS tool is a medical device, and have provided an interactive powerpoint slideset to steer you through the process.

 

  1. Guide to six stages of RDS toolkit development

We have developed a guide to support editors and toolkit leads through the process of scoping, designing, delivering, quality assuring and implementing a new RDS toolkit.  We hope this will help in project planning and in building shared understanding of responsibilities throughout the full development process.  The guide emphasises that the project does not end with launch of the new toolkit. Implementation, communication and evaluation are ongoing activities throughout the lifetime of the toolkit.

 

  1. Training sessions for new editors (also serve as refresher sessions for existing editors) will take place on the following dates:
  • Thursday 5 September 1-2 pm
  • Wednesday 24 September 4-5 pm
  • Friday 27 September 12-1 pm

To book a place, please contact Olivia.graham@nhs.scot, providing your name, organisation, job role, and level of experience with RDS editing (none, a little, moderate, extensive.)

7 Evaluation projects

Dr Stephen Biggart from NHS Lothian has kindly shared with us the results of a recent survey of use of the Edinburgh Royal Infirmary of Edinburgh Anaesthesia toolkit. This shows that the majority of consultants are using it weekly or monthly, mainly to access clinical protocols, with a secondary purpose being education and training purposes. They tend to find information by navigating by specialty rather than keyword searching, and had some useful recommendations for future development, such as access to quick reference guidance.

We’d really appreciate you sharing any other local evaluations of RDS in this way – it all helps to build the evidence base for impact.

If you have any questions about the content of this newsletter, please contact his.decisionsupport@nhs.scot  If you would prefer not to receive future newsletters, please email Olivia.graham@nhs.scot and ask to be removed from the circulation list.

 

With kind regards

 

Right Decision Service team

Healthcare Improvement Scotland

Ovarian Cysts in Post-Menopausal Women (549)

Please report any inaccuracies or issues with this guideline using our online form

Ovarian cysts are common in post-menopausal women (amenorrhoea for 1 year or more), and may be discovered during investigation of gynaecological symptoms or during imaging for other reasons.

Many of these cysts will have a low risk of malignancy, and not all need to be managed surgically. However it is important to triage women appropriately to decide the correct management and place for this to occur.

Investigations

No single test offers 100% sensitivity or specificity for the detection of ovarian cancer. CA125 is elevated in >80% of epithelial ovarian cancers. However a maximum of only 50% of women with clinically detectable stage 1 disease have elevated levels. Ovarian cysts in post-menopausal women should be assessed using CA125 and trans-vaginal ultrasound which offers greater sensitivity than the trans-abdominal method. However larger cysts may require to be assessed abdominally. Routine use of other imaging techniques is not recommended (MRI /CT), although these may be of value in selected cases.

The RMI (Risk of Malignancy Index)

The use of RMI scoring has been shown to be an effective method of determining which women are at low / medium/ high risk of malignancy. RMI scoring includes measurement of CA125 and the assessment of specific ultrasound features. Therefore, ultrasound reporting must detail the morphological features present to enable calculation of the RMI accurately.

The RMI is calculated as follows:

RMI = U x M x CA125

U depends on presence of the following ultrasound features:

  • Multi-loculation
  • Evidence of solid areas
  • Evidence of metastases
  • Bilateral lesions
  • Presence of ascites

U value 0: no ultrasound features
U value 1: 1 ultrasound feature
U value 3: 2 – 5 ultrasound features

M scores 3 for post-menopausal women (1 for pre-menopausal)

See attached pro-forma for Calculation of RMI

Management

Simple unilateral, unilocular ovarian cysts measuring <5cm, in the presence of a normal CA125, should be managed conservatively in the vast majority of cases, with follow-up TV scans and CA125 measurements, which should be performed at 4-monthly intervals for a year. If there has been no change over the course of a year then the woman can be discharged.

If the RMI is <200, but the woman is symptomatic or CA125 >25, then surgical management should be considered (oophorectomy). Surgery should also be considered if the RMI is < 200 but the cyst >5cm in diameter.

If the RMI is >200, then the case should be referred to the Gyn / Oncology MDT for surgery in a cancer centre, and a CT scan of chest, abdomen and pelvis arranged in the interim.

The management is summarised in the flow diagram.

Flowchart for the management of ovarian cysts in post-menopausal woman

Appendix: Calculating the Risk of Malignancy Index (RMI)

Calculating the Risk of Malignancy Index (RMI) proforma

Editorial Information

Last reviewed: 14/07/2022

Next review date: 14/07/2025

Author(s): Claire Higgins.

Version: 2

Approved By: Gynaecology Clinical Governance Group

Document Id: 549

References

RCOG Guideline No.34: Ovarian Cysts in Postmenopausal Women
SIGN Guideline No.75: Epithelial Ovarian Cancer