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Related Experiment Videos

Flexible sigmoidoscopy in general practice.

K. D Vellacott1, D Clarke, C Beech

  • 1Department of Surgery, Royal Gwent Hospital, Gwent Healthcare Trust, Newport, UK.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|June 5, 2003
PubMed
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Flexible sigmoidoscopy (FS) is feasible for General Practitioners (GPs) in primary care settings, detecting cancers and polyps safely. Offering FS services across multiple practices improves cost-effectiveness and equipment utilization.

Area of Science:

  • Gastroenterology
  • Primary Care Medicine
  • Surgical Procedures

Background:

  • Flexible sigmoidoscopy (FS) is becoming the preferred method for investigating lower gastrointestinal symptoms.
  • Assessing FS feasibility in general practice is crucial for improving patient access and care.

Purpose of the Study:

  • To evaluate the feasibility of flexible sigmoidoscopy in general practice.
  • To compare the diagnostic yield, cost-effectiveness, and efficiency of FS services provided by a consultant surgeon versus a General Practitioner (GP).

Main Methods:

  • A prospective study involving 430 unsedated patients with lower bowel disease symptoms across two general practices.
  • Comparison of FS service delivery by a consultant surgeon and a GP.

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Main Results:

  • The diagnostic yield of FS in general practice was comparable to hospital-based services.
  • Fifteen cancers (3.5%), including 40% Dukes A, and 46 adenomatous polyps (10.7%) were detected.
  • GP-provided FS was cost-equivalent or cheaper than hospital services but inefficient due to low patient volume.

Conclusions:

  • Suitably trained GPs can safely perform flexible sigmoidoscopy in health centers.
  • Consolidating FS services across multiple general practices enhances equipment utilization and cost-effectiveness.