ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2005
Factors identifying higher risk rectal bleeding in general practice.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 6 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 6 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Systematic review of clinical features of suspected colorectal cancer in primary care.Canadian family physician Medecin de famille canadien · 2014Pooled it
- Most bowel cancer symptoms do not indicate colorectal cancer and polyps: a systematic review.BMC gastroenterology · 2011Pooled it
- The diagnostic value of symptoms for colorectal cancer in primary care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Pooled it
- Positive predictive values of ≥5% in primary care for cancer: systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Pooled it
- Value of symptoms and additional diagnostic tests for colorectal cancer in primary care: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2010Pooled it
- Diagnostic accuracy systematic review of rectal bleeding in combination with other symptoms, signs and tests in relation to colorectal cancer.British journal of cancer · 2010Pooled it
- Completion Rates and Timeliness of Diagnostic Colonoscopies for Rectal Bleeding in Primary Care.Journal of general internal medicine · 2024Article
- The performance of FIT-based and other risk prediction models for colorectal neoplasia in symptomatic patients: a systematic review.EClinicalMedicine · 2023Review
- Creating a Safety Net Process to Improve Colon Cancer Diagnosis in Patients With Rectal Bleeding.The Permanente journal · 2022Article
- How can we better identify patients with rectal bleeding who are at high risk of colorectal cancer? An observational study.International journal of colorectal disease · 2022Observational
- Analysis of Answers to Queries among Anonymous Users with Gastroenterological Problems on an Internet Forum.International journal of environmental research and public health · 2020Article
- Two-year retrospective analysis of patients undergoing direct to procedure flexible sigmoidoscopy investigation with rectal bleeding as a primary complaint.Endoscopy international open · 2018Article
- Disparities in evaluation of patients with rectal bleeding 40 years and older.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2014Article
- Factors associated with consultation behaviour for primary symptoms potentially indicating colorectal cancer: a cross-sectional study on response to symptoms.BMC gastroenterology · 2012Article
- Cancer diagnosis in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Review
- Hematochezia in the young patient: a review of health-seeking behavior, physician attitudes, and controversies in management.Digestive diseases and sciences · 2010Review
- Imaging patients with suspected brain tumour: guidance for primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- The importance of anaemia in diagnosing colorectal cancer: a case-control study using electronic primary care records.British journal of cancer · 2008Article
- Rectal bleeding and previous anticoagulant treatment in patients with colorectal cancer do not predict outcome.Techniques in coloproctology · 2007Article
- Alarm symptoms in early diagnosis of cancer in primary care: cohort study using General Practice Research Database.BMJ (Clinical research ed.) · 2007Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRectal bleeding is a common symptom. The ability to distinguish those patients having serious underlying pathology from those with self-limiting conditions is a continuing dilemma in general practice.
aimTo determine the factors affecting the predictive and diagnostic value of rectal bleeding for bowel cancer in primary care. DESIGN OF STUDY: One-year prospective observational study.
settingThree large general practices.
methodThree hundred and nineteen consecutive patients over the age of 34 years consulting their GPs with rectal bleeding were included in the study. Investigation was by flexible sigmoidoscopy or a questionnaire and review of all patients took place after 18 months. The main outcome measures were consultation rates; the prevalence of cancer, colitis and significant polyps in patients presenting with rectal bleeding; its diagnostic value when occurring with or without a change in bowel habit, perianal symptoms and abdominal pain.
resultsThe consultation rate for rectal bleeding in patients over the age of 34 years was 15 per 1000 per year; 3.4% had colorectal cancer. The prevalence of cancer increased to 9.2% when the rectal bleeding was associated with a change in bowel habit, and to 11.1% when it was without perianal symptoms. Thirty-six per cent of cancer patients had a palpable rectal mass.
conclusionOver 96% of the patients who present to their GPs with rectal bleeding do not have cancer. Greater awareness of the diagnostic value of the different symptom combinations of rectal bleeding could help GPs adopt different management strategies for patients at higher and very low risk of cancer.
Indexed as
Identifiers
16378565PMC1570526W2109205815What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.