Abstract
Gastroenterology Departments at hospitals within Australia receive thousands of General Practitioner (GP)-referral letters for gastrointestinal investigations every month. Many of these requests are for colonoscopy. This study aims to evaluate the performance of the current symptoms-based triage system compared to a novel risk score using objective markers. Patients with lower abdominal symptoms referred by their GPs and triaged by a Gastroenterology consultant to a colonoscopy consent clinic were recruited into the study. A risk assessment tool (RAT) was developed using objective data (clinical, demographic, pathology (stool test, FIT), standard blood tests and colonoscopy outcome). Colonoscopy and histology results were scored and then stratified as either significant bowel disease (SBD) or non-significant bowel disease (non-SBD). Of the 467 patients in our study, 45.1% were male, the mean age was 54.3 ± 13.8 years and mean BMI was 27.8 ± 6.2. Overall, 26% had SBD compared to 74% with non-SBD (42% of the cohort had a normal colonoscopy). Increasing severity of referral symptoms was related to a higher triage category, (rectal bleeding, P = 2.86*10-9; diarrhoea, P = 0.026; abdominal pain, P = 5.67*10-4). However, there was no ...Continue Reading
References
Jun 27, 2007·Gut·Hermann BrennerUlrike Haug
Feb 27, 2010·Canadian Journal of Gastroenterology = Journal Canadien De Gastroenterologie·Desmond LeddinE Jan Irvine
Apr 3, 2010·BMJ : British Medical Journal·Petra JellemaHenrica C W de Vet
May 12, 2010·Alimentary Pharmacology & Therapeutics·B-A AdelsteinP H Katelaris
Jul 21, 2010·Gastroenterology·Sakiko HiraokaKazuhide Yamamoto
Jun 1, 2011·BMC Gastroenterology·Barbara-Ann AdelsteinLes Irwig
Jul 16, 2011·Nursing Outlook·Patricia A Grady
Dec 20, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Rajvinder SinghTakashia Matsuda
Jul 1, 2015·Clinical Chemistry and Laboratory Medicine : CCLM·Josep Maria AugeWladimiro Jimenez
Aug 22, 2015·Gut·Craig MowatRobert J C Steele
Oct 13, 2015·Clinical Chemistry and Laboratory Medicine : CCLM·Ian M GodberHakim Ben Younes
Nov 22, 2015·Journal of Crohn's & Colitis·Roxana ZaharieUNKNOWN IBDPROSPECT Study Group
Jan 26, 2016·Asia-Pacific Journal of Clinical Oncology·UNKNOWN Australian Institute of Health and Welfare, UNKNOWN Australian Government Department of Health
Jan 12, 2017·The New England Journal of Medicine·John M Inadomi
Apr 27, 2017·JAMA : the Journal of the American Medical Association·Douglas A CorleyTheodore R Levin
Citations
Mar 1, 2019·Internal Medicine Journal·Thomas M ElliottLouisa G Gordon
Jun 15, 2021·JGH Open : an Open Access Journal of Gastroenterology and Hepatology·Yee Man KanChing Kong Loo
Jan 20, 2021·Internal Medicine Journal·Jon D EmeryAlan Moss