Conclusion
References
stop rectal bleeding clinic were to begin it may therefore be useful to educate the public of its benefits and may encourage people to attend as it is more a streamlined service .
There is government support to streamline cancer services and a one- stop rectal bleeder clinic can be used to respond to high pressures of referrals . The introduction of bowel scope however , may see less patients being referred to a colorectal cancer clinic as there is evidence to suggest that the BCSP will remove adenomas and reduce cancer development . However , the uptake is still generally low at 50 % and the 2ww pathway continues to diagnose more cancers than any other route ( National Cancer Registration and Analysis Service , 2016 ). A more streamlined service means that cancers will be picked up early , which is shown to be fundamental to increased survivorship ( DOH , 2007 ; Coleman et al 2011 ; Sykes , 2017 ). Although there are a few hospitals performing a one stop rectal bleeder clinic , its beneficial evidence is limited . Therefore , if a hospital is to implement a one stop clinic , audit and longer studies must be completed with greater numbers of people included in the studies . It would be useful to publish the evidence of the abnormalities it detected . Interestingly there was a general finding that neoplasms are diagnosed more commonly in patients over 50 ( Toomey et al 1998 ; Mathew et al 2004 ; Agaba 2006 ). Outlining that one stop- rectal bleeder clinic would have paramount effectiveness in people of this age group
This paper has discussed the effectiveness of a one- stop rectal bleeding clinic . It has highlighted the UK government plans to streamline services to meet the demands of changes in cancer referral guidelines . This one stop clinic could be effective in meeting these demands and providing early diagnosis and better outcomes for patients being diagnosed with bowel cancer .
Conclusion
Flexible- sigmoidoscopy in 2WW diagnostic services and in the BCSP is proven to be a safe and effective procedure in diagnosing cancers early as well as preventing cancers developing in people aged over 50 . It should only be used with bright red bleeding as other colorectal symptoms may mean cancers in the proximal colon and require different investigations . ACP ’ s are an effective resource to run these clinics and that quality assurance guides as set out by JAG and the BCSP can guide their practice . Audits must be completed to evaluate effectiveness and demonstrate where improvements can be made . This paper further argues the case that more health promotion is needed to encourage people to attend their GP with red flag symptoms and provided with information of its benefits . The evidence supports the implementation of a one stop rectal bleeding clinic for a more streamlined service and helping to detect left sided bowel cancers early .
References
Atkin W , Edwards R , Kralj-Hans I et al ( 2010 ). Once- only flexible sigmoidoscopy screening in prevention of colorectal cancer : a multicentre randomised controlled trial . The Lancet . 375 ( 9726 ): 1624-1633
Atkin W , Wooldrage K , Parkin M et al ( 2017 ). Long-term effects of once-only flexible sigmoidoscopy screening after 17 years of follow-up : the UK Flexible Sigmoidoscopy Screening randomised controlled trial . The Lancet . 389 : 1299-1311
Allen E , Nicolaidis C , Helfand M ( 2004 ). The evaluation of rectal bleeding in adults . Journal of General Internal Medicine . 20 ( 1 ): 81-90
Agaba A , Berry N , Agaba O , Charaklias L , Wong , L ( 2006 ). One Stop Rectal Bleeding Clinic : the Coventry Experience . International Surgery . 91 : 288-290
Astin M , Griffin T , Neal R , Rose P , Hamilton W ( 2011 ). The diagnostic value of symptoms for colorectal cancer in primary care : a systematic review . British Journal of General Practice . 61 ( 586 ): 231-243