Audit on flexible sigmoidoscopy for XXXX in a district general hospital: are we over-loading the resources?

@entity1 @entity1127 @entity548 @entity6523 @entity14
OBJECTIVE: @entity1 with @entity548 are being over investigated because of the fear of missing @entity14 . This study aimed to identify the percentage of @entity1 <45 years of age who undergo flexible sigmoidoscopy for @entity548 , and to assess and compare the incidence of @entity14 and @entity1127 above and below this age. METHODS: @entity1 who underwent flexible sigmoidoscopy for @entity548 between 1 January 2000 and 31 December 2002 were reviewed. @entity1 were divided into two groups: group 1 consisted of @entity1 aged >or=45 years and group 2 @entity1 <45 years. The histopathology of biopsy specimens taken was also studied. RESULTS: Altogether 18.9% of the @entity1 who had flexible sigmoidoscopy for @entity548 were <45 years. The incidence of @entity14 in group 1 was 3.5%; all these cases were confirmed on histopathology. Only one @entity1 in group 2 was diagnosed with @entity14 on flexible sigmoidoscopy, but the histopathology disproved it. The incidence of @entity1127 was 16.6% in group 1 and 7.9% in group 2. Following histopathology, the incidence of @entity6523 was 6.8% in group 1 and 2.1% in group 2. There was a significant difference between the two groups, with a p value of <0.0001. CONCLUSION: The incidence of @entity14 and @entity6523 in @entity1 aged <45 years with @entity548 is very low. A flexible sigmoidoscopy costs approximately pound 330. If new guidelines are implemented considering the age of the @entity1 , considerable cost savings could be made, and the available resources could be appropriately used in groups with high incidences of @entity14 .
