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. 2020 Mar 31;7(1):e000221. doi: 10.1136/bmjgast-2018-000221

Table 1.

Clinically significant disease frequency based on predominant symptom/indications

Symptoms (total) Findings No (%) Diagnostic yield OR (95% CI, p value)
Diarrhoea
(total=188)
CRC 5 (3) 5.3% (n=59/1116) 3.15 (2.22 to 4.47, p<0.0001)
HRA 7 (4)
Angiodysplasia 2 (1)
Inflammation—IBD 31 (16)
Inflammation—Microscopic Colitis 7 (4)
Inflammation—non-specific 7 (4)
Negative 129 (69)
PR bleeding
(total=148)
CRC 9 (6) 2.9% (n=32/1116) 1.9 (1.24 to 2.9, p=0.003)
HRA 12 (8)
Inflammation—IBD 6 (4)
Inflammation—microscopic colitis 1 (1)
Inflammation—non-specific 3 (2)
Angiodysplasia 1 (1)
Negative 116(79)
Anaemia
(total=212)
CRC 4 (2) 2.2%
(n=25/1116)
0.83 (0.53 to 1.29, p=0.4)
HRA 12 (6)
Inflammation—IBD 5 (2)
Inflammation—non-specific 2 (1)
Angiodysplasia 2 (1)
Negative 187 (88)
Weight loss
(total=37)
HRA 3 (8) 0.4%
(n=4/1116)
0.79 (0.28 to 2.24, p= 0.65)
Inflammation—IBD 1 (3)
Negative 35 (94)
Constipation
(total=57)
HRA 2 (4) 0.4%
(n=5/1116)
0.57 (0.22 to 1.45, p=0.12)
Inflammation—IBD 1 (2)
Angiodysplasia 1 (2)
Negative 53 (93)
Alternating constipation and diarrhoea
(total=79)
CRC 1 (1) 1% (n= 12/1116) 1.23 (0.65 to 2.33, p=0.52)
HRA 2 (3)
Inflammation—IBD 6 (8)
Inflammation—microscopic colitis 1 (1)
Inflammation—non-specific 2 (3)
Negative 67 (85)
Abdominal pain
(total=104)
CRC 1 (1) 0.8%
(n=9/1116)
0.7 (0.37 to 1.33, p=0.28)
HRA 1 (1)
Inflammation—IBD 4 (4)
Inflammation—non-specific 3 (3)
Negative 95 (91)

CRC, colorectal cancer; HRA, high-risk adenoma; IBD, inflammatory bowel disease; PR, per rectum.