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Main
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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register. |
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Register:
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ISRCTN |
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Last refreshed on:
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13 January 2015 |
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Main ID: |
ISRCTN53354739 |
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Date of registration:
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23/01/2004 |
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Prospective Registration:
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No |
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Primary sponsor: |
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Public title:
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Evaluation of guidelines for open access flexible sigmoidoscopy
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Scientific title:
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Date of first enrolment:
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01/03/1997 |
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Target sample size:
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0 |
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Recruitment status: |
Completed |
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URL:
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http://isrctn.com/ISRCTN53354739 |
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Study type:
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Interventional |
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Study design:
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Randomised controlled trial (Screening)
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Phase:
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Countries of recruitment
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United Kingdom
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Contacts
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Name:
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Address:
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Telephone:
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Email:
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Affiliation:
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Name:
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Greg
Rubin |
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Address:
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School of Science
University of Sunderland
Benedict Building
St George?s Way
SR2 7BW
Sunderland
United Kingdom |
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Telephone:
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+44 (0)191 515 3831 |
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Email:
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Affiliation:
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Key inclusion & exclusion criteria
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Inclusion criteria: 1. Patients referred for open access flexible sigmoidoscopy and their referring practices.
2. Patients with symptomatic rectal bleeding referred for outpatient assessment prior to and during the study period.
3. < 18 years old
Exclusion criteria: Does not match inclusion criteria
Age minimum:
Age maximum:
Gender:
Both
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Health Condition(s) or Problem(s) studied
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Colorectal cancer
Cancer
Malignant neoplasm of other and ill-defined digestive organs
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Intervention(s)
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1. Open access flexible sigmoidoscopy (OAFS) guidelines.
2. No guidelines.
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Primary Outcome(s)
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1. Referrals/1000 population
2. Endoscopy findings
3. Final diagnoses
4. Time to diagnosis
5. Resource costs in primary and secondary care
6. Patient resource costs.
The introduction of the guideline had no significant effect on the selection of patients for investigation, but did influence patient management, both at the time of endoscopy and thereafter, the sum effect of which was reduced use of secondary care resources. GPs are selective in their use of an OAFS service for patients with rectal bleeding. The introduction of OAFS is cost effective and results in changes in case mix in referrals to specialist clinics. Non-malignant neoplasms were found more often in OAFS referrals, confirming the value of this service in evaluating low risk rectal bleeding.
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Secondary Outcome(s)
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Not provided at time of registration
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Source(s) of Monetary Support
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NHS Primary and Secondary Care Interface National Research and Development Programme (UK)
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Results
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Results available:
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Date Posted:
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Date Completed:
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URL:
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