Clinical triage for colonoscopy is useful in young women

Williamson, K. D., Steveling, K., Holtmann, G., Schoeman, M. and Andrews, J. M. (2015) Clinical triage for colonoscopy is useful in young women. Internal Medicine Journal, 45 5: 492-496. doi:10.1111/imj.12703

Author Williamson, K. D.
Steveling, K.
Holtmann, G.
Schoeman, M.
Andrews, J. M.
Title Clinical triage for colonoscopy is useful in young women
Journal name Internal Medicine Journal   Check publisher's open access policy
ISSN 1445-5994
Publication date 2015-05
Year available 2015
Sub-type Article (original research)
DOI 10.1111/imj.12703
Open Access Status
Volume 45
Issue 5
Start page 492
End page 496
Total pages 5
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2016
Language eng
Formatted abstract
Background: Colonoscopy is an invasive procedure and a limited resource. It is therefore desirable to restrict its use to those in whom it yields an important diagnosis, without missing pathology in others.

Aim: The aim of this study was to determine whether standard clinical criteria can be used to reliably distinguish when colonoscopy is advisable in women 30 years and younger.

Methods: A retrospective audit was performed at a single centre of 100 consecutive colonoscopies performed in women 30 years old and younger. The indications for the colonoscopy were recorded, and divided into clear and relative indications. The primary outcome of whether an endoscopic diagnosis was made was compared between the two groups. Clear indications for colonoscopy included overt rectal bleeding, elevated inflammatory markers, anaemia, iron deficiency and strong family history of colorectal cancer. Relative indications included abdominal pain or discomfort, bloating and altered bowel habit/motions.

Results: The average age was 23 years. Sixty women had both relative and clear indications. Eleven had only clear indications and 28 only relative indications. Altogether, 58 colonoscopies were normal, and 17 showed inflammatory bowel disease. No subject with only relative indications had an abnormal finding (0/28). The diagnostic yield was significantly different between those with only relative indications (0%) versus those with at least one clear indication (59%; P < 0.0001).

Conclusions: Standard clinical criteria can be used to restrict safely the use of colonoscopy in young women. This will avoid performing procedures in people without clear indications, saving costs, resources and complications.
Keyword Colonoscopy
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Faculty of Medicine and Biomedical Sciences Publications
Official 2016 Collection
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
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