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Table 1 Referral template for patients with suspected colorectal cancer

From: Impact of referral templates on the quality of referrals from primary to secondary care: a cluster randomised trial

Item #

Item text

1

Change in bowel habit

2

Blood in stool

3

Weight loss

4

Family history of colorectal cancer

5

Previous medical history of bowel disease or results of previous bowel investigations

6

Results of digital rectal examination (DRE)

7

Iron deficiency anaemia

8

Clinical findings at abdominal examination

9

Result of faecal occult blood test (FOBT)

10

The general practitioners clinical suspicion