THE INCIDENCE AND OUTCOME OF RECTAL BLEEDING IN GENERAL-PRACTICE

被引：26

作者：

FIJTEN, GH

MURIS, JWM

STARMANS, R

KNOTTNERUS, JA

BLIJHAM, GH

KREBBER, TFWA

机构：

[1] Diagnostic Coordination Centre, University Hospital Maastricht, Maastricht

[2] Department of General Practice, University of Umburg, Maastricht

[3] Department of Internal Medicine, University Hospital, Utrecht

来源：

FAMILY PRACTICE | 1993年 / 10卷 / 03期

关键词：

D O I：

10.1093/fampra/10.3.283

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The objective of the studies reported in this paper was to determine the incidence as well as the final diagnostic outcome of rectal bleeding presenting in general practice. Because of the wide variety observed in incidence rates among 83 general practitioners (GPs) in the first study (A) an additional study (B) was undertaken. In study B with 10 GPs special efforts were made to maximize the catchment rate. The mean 'consultation incidence rate' was 7 per 1000 people per year. A follow-up period of at least 1 year was applied to establish the final diagnostic conclusion. Occurrence of colorectal cancer was found in 3% of patients with rectal bleeding. This may represent an overestimation of the prior probability since there was a selection in favour of patients with clinically relevant rectal bleeding. In about 90% of patients rectal bleeding was related to minor ailments or self-limiting disorders. Further study on predictive values of (combinations of) other signs and symptoms is necessary to develop clinical recommendations.

引用

页码：283 / 287

页数：5

共 17 条

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