Evidence map›Paper›PMID 25122815›Full record

SynthesisCanadian family physician Medecin de famille canadien2014

Guideline for referral of patients with suspected colorectal cancer by family physicians and other primary care providers.

M Elisabeth Del Giudice, Emily T Vella, Amanda Hey, Marko Simunovic, William Harris, Cheryl Levitt

Abstract readSystematic Review
In one paragraph

Synthesis in Canadian family physician Medecin de famille canadien, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Systematic review of clinical features of suspected colorectal cancer in primary care.Canadian family physician Medecin de famille canadien · 2014
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  19. Clarification required: FOBT or not?Canadian family physician Medecin de famille canadien · 2014
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

M Elisabeth Del GiudicePhysician with the Sunnybrook Academic Family Health Team in Toronto, Ont, and is Regional Primary Care Cancer Lead for the Toronto Central Local Health Integration Network. ccopgi@mcmaster.ca.
Emily T VellaHealth Research Methodologist in the Department of Oncology at McMaster University in Hamilton, Ont, and for Cancer Care Ontario's Program in Evidence-based Care. ccopgi@mcmaster.ca.
Amanda HeyRegional Primary Care Lead at the Northeast Cancer Centre in Sudbury, Ont.
Marko SimunovicSurgical oncologist at the Juravinski Cancer Centre in Hamilton.
William HarrisSurgeon at Thunder Bay Regional Health Sciences Centre in Ontario.
Cheryl LevittProfessor in the Department of Family Medicine at McMaster University and Past Provincial Primary Care Lead at Cancer Care Ontario.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this guideline is to assist FPs and other primary care providers with recognizing features that should raise their suspicions about the presence of colorectal cancer (CRC) in their patients. COMPOSITION OF THE COMMITTEE: Committee members were selected from among the regional primary care leads from the Cancer Care Ontario Provincial Primary Care and Cancer Network, the members of the Ontario Colorectal Cancer Screening Advisory Committee, and the members of the Cancer Care Ontario Gastrointestinal Cancer Disease Site Group.

methodsThis guideline was developed through systematic review of the evidence base, synthesis of the evidence, and formal external review involving Canadian stakeholders to validate the relevance of recommendations. REPORT: Evidence-based guidelines were developed to improve the management of patients presenting with clinical features of CRC within the Canadian context.

conclusionThe judicious balancing of suspicion of CRC and level of risk of CRC should encourage timely referral by FPs and primary care providers. This guideline might also inform indications for referral to CRC diagnostic assessment programs.

Indexed as

Practice Guidelines as TopicAgedAge FactorsAnemia, Iron-DeficiencyColonic PolypsColorectal NeoplasmsFamily PracticeGastrointestinal HemorrhageHumansInflammatory Bowel DiseasesMiddle AgedPrimary Health CareRectumReferral and ConsultationRisk AssessmentWeight Loss

Identifiers

PMID25122815
PMCPMC4131960

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.