PMID: 11913913Mar 27, 2002Paper

Colonoscopic surveillance for family history of colorectal cancer: are NHMRC guidelines being followed?

The Medical Journal of Australia
Ian F YusoffHooi C Ee

Abstract

To assess whether referrals for surveillance colonoscopy and subsequent follow-up recommendations for patients with a family history of colorectal cancer concurred with the published National Health and Medical Research Council (NHMRC) guidelines. A prospective audit of patients with a family history of colorectal cancer referred for surveillance colonoscopy. Follow-up recommendations were assessed retrospectively. All patients referred to a major teaching hospital for surveillance colonoscopy on the basis of a family history of colorectal cancer from 2 January 2000-15 April 2001. Concurrence of referrals and recommendations with NHMRC guidelines. Of 340 patients referred because of a family history of colorectal cancer, 202 (83 men, 119 women) were asymptomatic. Their mean age was 50 years (95% CI, 48.3-51.6 years). The family history of 95 (47%) of these patients satisfied the NHMRC criteria for colonoscopic surveillance. Another 20 patients (17%) satisfied the criteria, but were referred before the recommended age to commence surveillance. Analysis by referral source showed that the proportion of referrals meeting NHMRC guidelines was higher from specialists than from general practitioners (75% v 45%), and this difference wa...Continue Reading

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Citations

Feb 14, 2008·Cancer Causes & Control : CCC·Anna R GagliardiDave Davis
Mar 18, 2008·Journal of Clinical Gastroenterology·Sanna A MulderErnst J Kuipers
Oct 31, 2002·The Medical Journal of Australia·Finlay A Macrae, Geoffrey S Hebbard
Jan 22, 2003·ANZ Journal of Surgery·Ian F YusoffHooi C Ee
Mar 24, 2005·Diseases of the Colon and Rectum·James M Church
Mar 21, 2007·The Medical Journal of Australia·Finlay A Macrae
Mar 21, 2007·The Medical Journal of Australia·Charlie H ViialaJohn K Olynyk
Mar 27, 2002·The Medical Journal of Australia·Terry BolinMelvyn G Korman

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