Pitfalls in the construction of cancer guidelines demonstrated by the analysis of colorectal referrals

Annals of the Royal College of Surgeons of England

Volumn 87, Issue 6, 2005, Pages 419-426

  Rhodder, R J ^a   Ballal, M ^a   Selvachandran, S N ^a   Cade, David ^a  

^a LEIGHTON HOSPITAL   (United Kingdom)

Author keywords

Colorectal neoplasm; Colorectal symptoms; Guidelines; Patient consultation questionnaire; Scoring tools; Weighted Numerical Score

Indexed keywords

ARTICLE; COLORECTAL CANCER; DATA BASE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; MODEL; PATIENT REFERRAL; PRACTICE GUIDELINE; PRIMARY MEDICAL CARE; QUESTIONNAIRE; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; SYMPTOMATOLOGY; WEIGHTED NUMERICAL SCORE;

AGED; AREA UNDER CURVE; COLORECTAL NEOPLASMS; FEMALE; HUMANS; MALE; MIDDLE AGED; PRACTICE GUIDELINES; PROSPECTIVE STUDIES; QUESTIONNAIRES; REFERRAL AND CONSULTATION; RISK FACTORS; ROC CURVE;

EID: 27844610693     PISSN: 00358843     EISSN: None     Source Type: Journal    
DOI: 10.1308/003588405X71018     Document Type: Article

References (27)

1. Department of Health. The NHS Cancer Plan. London: DH, 2000.
2. The Royal College of Surgeons of England. The Surgical Workforce in the new NHS. London: RCSE, 2001.
3. Kipping R et al. A review of priority and slot systems for elective surgery. Health Services Management Centre, University of Birmingham, 2002.
4. The Royal College Of Surgeons of England. Guidelines for the Management of Colorectal Cancer, vol. 3. London: RCSE, 1996.
5. Department of Health. Improving Outcomes in Colorectal Cancer. London: NHS Executive, 1997.
6. Department of Health. The new NHS Modern and Dependable: A National Framework for Assessing Performance. London: NHS Executive, 1998.
7. Department of Health. Clinical Guidelines: using clinical guidelines to improve patient care in the NHS. London: NHS Executive, 1996.
8. Chassin MR, Galvin RW. The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality 1998; 280: 1000-5.
9. Kohn LT, Corrigan JM, Donaldson MS. To error is human: building a safer health system. Washington, DC: National Academy Press. 2000.
10. Thompson MR. ACPGBI referral guidelines for colorectal cancer. Colorectal Dis 2002; 4: 287-97.
11. Michaels J, Booth A. Pragmatic system for the grading of evidence and recommendations in clinical guidelines. J Clin Excellence 2001; 3: 139-43.
12. McCulloch P et al. Randomised trials in surgery: problems and possible solutions. BMJ 2002; 324: 1448-51.
13. Sackett D, Rennie D. The science of the art of the clinical examination. JAMA 1992; 267: 2650-2.
14. Brennan TA. The Institute of Medicine Report on Medical Errors. could it do harm?. N Engl J Med 2000; 342: 1123-5.
15. Gol R, Grimshaw J. Evidence-based implementation of evidence-based medicine. J Comm J Qual Improv 1999; 25: 503-21.
16. Bero LA, Grill R, Grimshaw JM. Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. BMJ 1998; 317: 465-8.
17. Thompson O'Brien MA, Oxman AD, Hayes RB. Local opinion leaders: effects on professional practice and health care outcomes. Cochrane Database System Rev (2): CD000125, 2000.
18. The Association of Coloproctology of Great Britain and Ireland. Guidelines for the management of colorectal cancer. London: The Association of Coloproctology of Great Britain and Ireland, 2001
19. Selvachandran S, Hodder R, Ballal M, Cade D et al. Prediction of colorectal cancer by a patient consultation questionnaire and scoring system: a prospective study. Lancet 2002; 360; 278-83.
20. Fijten GH et al. Predictive value of signs and symptoms for colorectal cancer in patients with rectal bleeding in general practice. Fam Pract 1995; 12: 279-86.
21. Majumdar SR, Fletcher RH, Evans AT. How does colorectal cancer present? Symptoms, duration and clues to location. Am J Gastroenterol 1999; 94: 3039-45.
22. Wirral Hospital NHS Trust. Suspected Bowel Cancer-Referrals Only. Merseyside, UK, 2001.
23. Davies RJ et al. A prospective study to assess the implementation of a fast-track system to meet the two-week target for colorectal cancer in Somerset. Colorectal Dis 2002; 4: 28-30.
24. Marshall T, Rouse A. Resource implications and health benefits of primary prevention strategies for cardiovascular disease in people aged 30 to 74: mathematical modeling. BMJ 2002; 325: 1971-99.
25. Jones R. Is the 2-week rule for cancer referrals working? BMJ 2001; 332: 1555-6.
26. Soo FY, Winterton R, Plusa SMI. Impact of the '2 week rule' on the treatment of colorectal cancer. Gut 2001; 48 (Suppl 1): 53.
27. Hodder R, Ballal M, Selvachandran S, Cade D et al. Colorectal referral assessment protocols. Ann R Coll Surg Engl 2002; 84: 282.