Anexo 11. ACRÓNIMOS AP: at<strong>en</strong>ción primaria. AE: at<strong>en</strong>ción especializada. ECA: <strong>en</strong>sayo clínico aleatorizado. 90 • GUÍA DE PRÁCTICA CLÍNICA RECTORRAGIA (ACTUALIZACIÓN 2007) EII: <strong>en</strong>fermedad inflamatoria intestinal. EMBASE: base de datos bibliográfica de Excepta Médica que cubre la literatura internacional, sobre todo de ámbito europeo, <strong>en</strong> el campo de la medicina y la farmacología. FC: frecu<strong>en</strong>cia cardíaca. GPC: guía de práctica clínica. IC: intervalo de confianza. MEDLINE: base de datos bibliográfica de la National Library of Medicine, que conti<strong>en</strong>e la información del Index Medicus. MG: médico g<strong>en</strong>eral. PAS: presión arterial sistólica. PG: población g<strong>en</strong>eral. RS: revisión sistemática. TC: tomografía computarizada. VPP: valor predictivo positivo. VPN: valor predictivo negativo.
Refer<strong>en</strong>cias bibliográficas 1. Fijt<strong>en</strong> GH, Blijham GH, Knottnerus JA. Occurr<strong>en</strong>ce and clinical significance of overt blood loss per rectum in the g<strong>en</strong>eral population and in medical practice. Br J G<strong>en</strong> Pract 1994;44:320-325. 2. Hamilton W, Sharp D. Diagnosis of colorectal cancer in primary care: evid<strong>en</strong>ce base for guidelines. Fam Pract 2004; 21:99-106. Disponible <strong>en</strong>: http://fampra.oxfordjournals.org/cgi/cont<strong>en</strong>t/full/21/1/99. Consultado el 30 de marzo de 2007. 3. Referral guidelines for suspected cancer. NICE Clinical Guideline No 27. London: National Institute for Health and Clinical Excell<strong>en</strong>ce (2005). Disponible <strong>en</strong>: http://www.nice.org.uk/guidance/CG27. Consultado el 15 de noviembre de 2006. 4. Du Toit J, Hamilton W, Barraclough K. Risk in primary care of colorectal cancer from new onset rectal bleeding: 10 year prospective study. BMJ 2006;333:69-70. 5. Thompson MR, Heath I, Ellis BG, Swarbrick ET, Wood LF, Atkin WS. Id<strong>en</strong>tifying and managing pati<strong>en</strong>ts at low risk of bowel cancer in g<strong>en</strong>eral practice. BMJ 2003;327(7409):263-265. 6. Atkins D, Best D, Briss PA, Eccles M, Falck-Ytter Y, Flottorp S, et al. GRADE Working Group. Grading quality of evid<strong>en</strong>ce and str<strong>en</strong>gth of recomm<strong>en</strong>dations. BMJ 2004;328:1490. 7. Byles JE (b), Sanson-Fisher RW, Redman S, Reid AL, Agrez M. Early detection of colorectal cancer: a profile of curr<strong>en</strong>t practice. Cancer Detect Prev 1992;16:245-252. 8. Sladd<strong>en</strong> MJ, Thomson AN, Lombard CJ. <strong>Rect</strong>al bleeding in g<strong>en</strong>eral practice pati<strong>en</strong>ts. Aust Fam Physician 1999;28:750- 754. 9. Talley NJ, Jones M. Self-reported rectal bleeding in a United States community: preval<strong>en</strong>ce, risk factors, and health care seeking. Am J Gastro<strong>en</strong>terol 1998;93:2179-2183. 10. Thompson JA, Pond CL, Ellis BG, Beach A, Thompson MR. <strong>Rect</strong>al bleeding in g<strong>en</strong>eral and hospital practice: “the tip of the iceberg”. Colorect Dis 2000;2:288-293. 11. Byles JE (a), Redman S, H<strong>en</strong>nrikus D, Sanson-Fisher RW, Dickinson J. Delay in consulting a medical practitioner about rectal bleeding. J Epidemiol Community Health 1992;46:241-244. 12. Bain NS, Campbell NC, Ritchie LD, Cassidy J. Striking the right balance in colorectal cancer care—a qualitative study of rural and urban pati<strong>en</strong>ts. Fam Pract 2002;19:369-374. 13. Crosland A, Jones R. <strong>Rect</strong>al bleeding: preval<strong>en</strong>ce and consultation behaviour. BMJ 1995;311:486-488. 14. D<strong>en</strong>t OF, Goulston KJ, T<strong>en</strong>nant CC, Langeluddecke P, Mant A, Chapuis PH, et al. <strong>Rect</strong>al bleeding. Pati<strong>en</strong>t delay in pres<strong>en</strong>tation. Dis Colon <strong>Rect</strong>um 1990;33:851-857. 15. Mor V, Masterson-All<strong>en</strong> S, Goldberg R, Guadagnoli E, Wool MS. Pre-diagnostic symptom recognition and help seeking among cancer pati<strong>en</strong>ts. J Community Health 1990;15:253-66. 16. Metcalf JV, Smith J, Jones R, Record CO. Incid<strong>en</strong>ce and causes of rectal bleeding in g<strong>en</strong>eral practice as detected by colonoscopy. Br J G<strong>en</strong> Pract 1996;46:161-164. 17. Fijt<strong>en</strong> GH, Starmans R, Muris JW, Schout<strong>en</strong> HJ, Blijham GH, Knottnerus JA. Predictive value of signs and symptoms for colorectal cancer in pati<strong>en</strong>ts with rectal bleeding in g<strong>en</strong>eral practice. Fam Pract 1995;12:279-286. 18. Norrelund N, Norrelund H. Colorectal cancer and polyps in pati<strong>en</strong>ts aged 40 years and over who consult a GP with rectal bleeding. Fam Pract 1996;13:160-165. 19. Helfand M, Marton KI, Zimmer-Gembeck MJ, Sox HC Jr. History of visible rectal bleeding in a primary care population. Initial assessm<strong>en</strong>t and 10-year follow-up. JAMA 1997;277:44-48. 20. Choi HK, Law WL, Chu KW. The value of flexible sigmoidoscopy for pati<strong>en</strong>ts with bright red rectal bleeding. Hong Kong Med J 2003;9:171-174. 21. Selvachandran SN, Hodder RJ, Ballal MS, Jones P, Cade D. Prediction of colorectal cancer by a pati<strong>en</strong>t consultation questionnaire and scoring system: a prospective study. Lancet 2002;360:278-283. 22. Fernández E, Linares A, Alonso JL, Sotorrio NG, Vega J de la, Artimez ML, et al. Hallazgos colonoscópicos <strong>en</strong> paci<strong>en</strong>tes con hemorragia digestiva baja remitidos a un hospital para su estudio. Valor de los datos clínicos para predecir hallazgos normales o patológicos. Rev Esp Enf Dig 1996;88:16-20. 23. Douek M, Wickramasinghe M, Clifton MA. Does isolated rectal bleeding suggest colorectal cancer? Lancet 1999;354:393. 24. Sánchez A, Muñoz C, Bujanda L, Iriondo C, Gil-Molet A, Cosme A, et al. Utilidad de la colonoscopia <strong>en</strong> paci<strong>en</strong>tes derivados desde At<strong>en</strong>ción Primaria por rectorragia. Rev Esp Enferm Dig 2005;97:870-876. 25. Ferraris R, S<strong>en</strong>ore C, Fracchia M, Sciallero S, Bonelli L, Atkin WS, Segnan N; SCORE Working Group, Italy. Predictive value of rectal bleeding for distal colonic neoplastic lesions in a scre<strong>en</strong>ed population. Eur J Cancer 2004;40:245-252. 26. Bandolier. Diagnosing anaemia. Disponible <strong>en</strong>: http://www.jr2.ox.ac.uk/bandolier/band45/b45-6.html. Consultado el 29 de marzo de 2007. 27. Sheth TS, Choudhry NK, Bowes M, Detsky AS. The relation of conjunctival pallor to the pres<strong>en</strong>ce of anaemia. J G<strong>en</strong> Intern Med 1997;12:102-106. REFERENCIAS BIBLIOGRÁFICAS • 91