Table 1: National Institute for Health Care and Excellence (NICE) referral guidelines for an urgent suspicion of colorectal cancer (NG12).
High Risk Referral Criteria (if any) |
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1 - Patients > 40 yrs with unexplained weight loss and abdominal pain |
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2 - Patients > 50 yrs with unexplained rectal bleeding |
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3 - Patients > 60 yrs with IDA or changes in bowel habit |
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4 - Patients show occult blood in their faeces** |
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**Offer occult blood testing if: |
patients > 50 yrs with unexplained abdominal pain or weight loss |
patients < 60 yrs with changes in bowel habits or IDA |
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Patients > 60 yrs with anaemia even in absence of iron deficiency |
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Consider High Risk Referral (if any) |
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5 - Patients with rectal or abdominal mass |
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6 - Patients < 50 yr with rectal bleeding and any of the following unexplained findings abdominal pain, change in bowel habits, weight loss or IDA |
IDA = Iron deficiency anaemia.