eP102 Evaluation of Patients with IDA Referred on Colorectal Cancer Pathway

Aim Iron def. anaemia is the cause of major morbidity and a significant burden on the healthcare system. The primary aim of this study was to assess how patients with IDA referred on a 2-week pathway were evaluated in a DGH. Method This is a retrospective study of patients referred on the 2-week pathway with IDA. The data was collected from Patients’ electronic record system, Unisoft GI endoscopy reporting tool and patients’ medical notes. Results 50 patients were reviewed with 20 (40%) males and 30 (60%) females, age ranged between 24-93 (Mean age of 63.22 with Mode of 80). After triage, 21 (42%) directly underwent endoscopic evaluations, while rest were first assessed in the clinic. The available investigations included Hb, ferritin and FIT results. Patients underwent OGD (n=47,94%), Colonoscopy (n=41,82%), CT Colonoscopy, and/or CT scans (n=7,14%). 14 (28%) patients also had CT scans due to wt. loss or associated abdominal pain. 35 patients (70%) were reassured. 1(2%) patient was diagnosed with right-sided colonic malignancy. 6 (12%) were followed up by gastroenterologist. 4 (8%) were put on surveillance pathway. 2 (4%) were referred to Gynecologist for suspected ovarian pathology. 2 (4%) were referred to pelvic floor clinic. Conclusion The evaluation of IDA was according to BSG guidelines. We recommend that a standardised discharge text should be forwarded to GPs, including advice about oral Iron supplements if investigations are unremarkable. We recommend appointment of an IDA nurse, who can be contacted by GPs in case of the recurrence of IDA.