NICE demands more endoscopy services

Polak, Monika
September 2003
GP: General Practitioner;9/29/2003, p12
NICE is pushing for a substantial expansion of lower GI endoscopy services in its draft guidance on colorectal cancer services. The second draft of the document says that recognition of colorectal cancer symptoms needs to improve and recommends that diagnosis should be based on endoscopy rather than barium enema. In addition, it says that access to both flexible sigmoidoscopy and colonoscopy should be improved, because colonoscopy is the most sensitive method for diagnosing colon cancer. This latest guidance on colorectal cancer is in contrast to that being produced for dyspepsia, in which NICE is expected to call for a reduction in the number of upper GI endoscopies that are performed.


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