Preliminary results of a feasibility study of the use of information technology for identification of suspected colorectal cancer in primary care: the CREDIBLE study

British Journal of Cancer
E KidneyT Marshall

Abstract

We report the findings of a feasibility study using information technology to search electronic primary care records and to identify patients with possible colorectal cancer. An algorithm to flag up patients meeting National Institute for Health and Care Excellence (NICE) urgent referral criteria for suspected colorectal cancer was developed and incorporated into clinical audit software. This periodically flagged up such patients aged 60 to 79 years. General practitioners (GPs) reviewed flagged-up patients and decided on further clinical management. We report the numbers of patients identified and the numbers that GPs judged to need further review, investigations or referral to secondary care and the final diagnoses. Between January 2012 and March 2014, 19,580 records of patients aged 60 to 79 years were searched in 20 UK general practices, flagging up 809 patients who met urgent referral criteria. The majority of the patients had microcytic anaemia (236 (29%)) or rectal bleeding (205 (25%)). A total of 274 (34%) patients needed further clinical review of their records; 199 (73%) of these were invited for GP consultation, and 116 attended, of whom 42 were referred to secondary care. Colon cancer was diagnosed in 10 out of 809 (...Continue Reading

References

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Jan 23, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Julia Hippisley-Cox, Carol Coupland
Jan 23, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·William HamiltonUna Macleod
Nov 29, 2014·BMC Health Services Research·Marie-Josée FleuryCatherine Vallée

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Citations

Mar 23, 2017·Applied Clinical Informatics·Daniel R MurphyHardeep Singh
Jan 8, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Brian D NicholsonPeter W Rose
May 19, 2019·Advances in Therapy·Yin ZhouFiona M Walter
Aug 15, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Constantinos KoshiarisWilliam Hamilton
Nov 20, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sophie ChimaJon D Emery

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Software Mentioned

CREDIBLE
CAPER
Web
Clinical Manager
BMJ Informatica
MSDi Clinical Manager
EMIS
Macmillan eCDS

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