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Titolo:
SIGMOIDOSCOPY SERVICE IN A DISTRICT GENERAL-HOSPITAL - OPEN-ACCESS VERSUS HOSPITAL-REFERRED
Autore:
SHAKIL AO; ELLIS A; FAIZALLAH R; COCHRANE AMG;
Indirizzi:
NIDDK,LIVER DIS SECT,BLDG 10,ROOM 9C103B BETHESDA MD 20892 WHISTON HOSP,GASTROENTEROL UNIT PRESCOT MERSEYSIDE ENGLAND
Titolo Testata:
British journal of clinical practice
fascicolo: 1, volume: 49, anno: 1995,
pagine: 25 - 27
SICI:
0007-0947(1995)49:1<25:SSIADG>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONTRAST BARIUM ENEMA; COLORECTAL NEOPLASM; GASTROSCOPY; ENDOSCOPY; COLONOSCOPY; CANCER;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
A.O. Shakil et al., "SIGMOIDOSCOPY SERVICE IN A DISTRICT GENERAL-HOSPITAL - OPEN-ACCESS VERSUS HOSPITAL-REFERRED", British journal of clinical practice, 49(1), 1995, pp. 25-27

Abstract

In a retrospective analysis of open-access versus hospital-referred flexible sigmoidoscopies, the two groups are compared with reference tothe demographic data, presenting symptoms, sigmoidoscopy findings anddiagnostic yield. Overall, 1090 patients underwent sigmoidoscopy during 12 months, 544 in the open-access and 546 in the hospital-referred group. There was a preponderance of females in both groups, but patients in the hospital-referred group were older. Diarrhoea was the most common presenting symptom, followed by rectal bleeding. Significantly more patients presented with rectal bleeding with or without diarrhoea and abdominal pain in the open-access group, while there were more patients with iron deficiency in the hospital-referred group, The number of patients with colonic carcinoma was similar in the two groups, but significantly more early carcinomas were found in the open-access group. There were significantly more patients with haemorrhoids in the open-access group. The positivity rate was similar in the two groups (52%in the open-access vs 46% in the hospital-referred group), Of the 24%of patients 40 years or under, none had carcinomas. In this age rangethe positivity rate was no different in the two groups (32% in the open-access vs 23% in the hospital-referred group). The diagnostic yieldof open-access flexible sigmoidoscopy is thus comparable to hospital-referred sigmoidoscopy, suggesting that it should be freely available to GPs.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/06/20 alle ore 20:41:41