Validation of the lower gastrointestinal electronic referral protocol

The British Journal of Surgery
S K P JohnJ B J Fozard

Abstract

Recognition of people presenting to the general practitioner with symptoms suggestive of colorectal cancer varies considerably, as do the subsequent patterns of referral and treatment. The Lower Gastrointestinal Electronic Referral Protocol (e-RP) was developed to be used alongside the national Choose and Book programme. This paper addresses the validation of the e-RP. The e-RP was validated using three datasets: 100 consecutive patients with colorectal cancer, 100 2-week wait (TWW) suspected cancer referrals and 100 routine referrals. The actual destination of referred patients, their clinical diagnosis and referral urgency were compared with destination and referral urgency assigned by the e-RP. Some 43.0 per cent of patients with colorectal cancer were actually referred through the TWW system and the e-RP successfully upgraded 85.0 per cent of these patients as TWW referrals (Pearson chi(2) = 9.76, 1 d.f., P = 0.002). The e-RP also redirected three of four patients with colorectal cancer in routine referrals to TWW clinics. Right-sided cancers were appropriately directed to colonoscopy as the first contact in secondary care or to outpatients for investigation of a palpable mass. Most patients with left-sided cancers were dir...Continue Reading

References

Jan 11, 1992·BMJ : British Medical Journal·R Jones, S Lydeard
Feb 1, 1991·The Australian and New Zealand Journal of Surgery·S M KyleM L Yeong
Sep 8, 1990·BMJ : British Medical Journal·T W HenniganT G Allen-Mersh
Mar 1, 1990·Scandinavian Journal of Primary Health Care·J Månsson
Mar 1, 1989·Diseases of the Colon and Rectum·A MantO F Dent
May 1, 1988·Postgraduate Medical Journal·P S CheungC K Lai
Apr 1, 1986·Diseases of the Colon and Rectum·O F DentP H Chapuis
Jun 15, 1987·The Medical Journal of Australia·K GoulstonL Bokey
Oct 5, 1968·Lancet·N Keddie, A Hargreaves
Aug 19, 1995·BMJ : British Medical Journal·A Crosland, R Jones
Oct 1, 1993·The British Journal of Surgery·D Goodman, T T Irvin
Sep 1, 1993·Family Practice·G H FijtenT F Krebber
Jan 1, 1996·International Journal of Colorectal Disease·R A DamhuisT Wiggers
Nov 20, 1998·The American Journal of Gastroenterology·N J Talley, M Jones
Aug 7, 1999·Lancet·M DouekM A Clifton
Oct 16, 1999·The American Journal of Gastroenterology·S R MajumdarA T Evans
Oct 20, 2000·BMJ : British Medical Journal·H WautersF Buntinx
Feb 5, 2002·Clinical Oncology : a Journal of the Royal College of Radiologists·D HayneP Babb
Jan 9, 2003·Virchows Archiv : an International Journal of Pathology·UNKNOWN Association of Directors of Anatomic and Surgical Pathology
Aug 5, 2003·BMJ : British Medical Journal·M R ThompsonW S Atkin
Feb 5, 2004·Family Practice·William Hamilton, Deborah Sharp
Jun 4, 2005·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A L BealeM C Allison
Nov 16, 2005·Family Practice·Jacqueline BarrettWilliam Hamilton
Apr 25, 2006·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·D M HemingwayUNKNOWN Leicester Colorectal Specialist Interest Group Project Steering Committee
May 10, 2006·QJM : Monthly Journal of the Association of Physicians·M R StephensM C Allison
Jun 21, 2006·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·I KhattakP S Rooney
Jun 23, 2006·BMJ : British Medical Journal·Jennifer du ToitKevin Barraclough
Sep 15, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S K P JohnJ B J Fozard
Jun 12, 2008·Bulletin of the World Health Organization·Brian Greenwood

❮ Previous
Next ❯

Citations

Jan 29, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S K P JohnJ B J Fozard
Oct 9, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Colin WalshUNKNOWN Informatics Intervention Research Collaboration (I2RC)
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Kaveh G ShojaniaJeremy Grimshaw
Jul 10, 2019·Alimentary Pharmacology & Therapeutics·Ella MozdiakRamesh P Arasaradnam
Mar 6, 2009·Current Opinion in Supportive and Palliative Care

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Annals of the Royal College of Surgeons of England
Jessica DennisonCelia Ingham Clark
Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
A SpeirsD Howlet
Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
R A SmithP S Carter
© 2021 Meta ULC. All rights reserved