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The study aims were to determine the effectiveness of <jats:styled-content style=\"fixed-case\">RADAR<\/jats:styled-content> in differentiating colorectal cancer from benign disease and to evaluate the need for whole colonic investigation (<jats:styled-content style=\"fixed-case\">WCI<\/jats:styled-content>) following <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content>, in symptomatic patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Prospectively collated data of all <jats:styled-content style=\"fixed-case\">RADAR<\/jats:styled-content> patients from November 2005 to November 2009 were analysed, excluding patients referred internally for a <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content>. The local histology database was later interrogated to detect any missed cancers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1690 patients (729 men; median (range) age: 68 (18\u201396) years) assessed in <jats:styled-content style=\"fixed-case\">RADAR<\/jats:styled-content>, 84 were excluded. Colorectal cancer (<jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content>) was diagnosed in 117 (7.3%). Eighty\u2010seven cancers were diagnosed on the day of attendance and a further 13 within a week (88.9% overall). Two patients after a cancer\u2010free <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content> were found to have a right\u2010sided <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content> on <jats:styled-content style=\"fixed-case\">WCI<\/jats:styled-content> (0.24%) and one synchronous cancer was found. No patient with a cancer\u2010free <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content> having a <jats:styled-content style=\"fixed-case\">WCI<\/jats:styled-content> was subsequently found to have <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content> at a median of 35 (12\u201358) months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Flexible sigmoidoscopy, in the context of an endoscopy unit <jats:styled-content style=\"fixed-case\">TWW<\/jats:styled-content> clinic, allows same\u2010day diagnosis of most patients referred with left\u2010sided symptoms, and immediate reassurance and treatment of most benign diagnoses. For these patients, the use of routine <jats:styled-content style=\"fixed-case\">WCI<\/jats:styled-content> following a cancer\u2010free <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content> does not appear to be beneficial. Adopting this system would significantly reduce the number of barium enemas and colonoscopies currently performed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12508","type":"journal-article","created":{"date-parts":[[2013,12,4]],"date-time":"2013-12-04T11:11:47Z","timestamp":1386155507000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Same\u2010day assessment and management of urgent (2\u2010week wait) colorectal referrals: an analysis of the outcome of 1606 patients attending an endoscopy unit\u2010based colorectal clinic"],"prefix":"10.1111","volume":"16","author":[{"given":"T. J.","family":"Royle","sequence":"first","affiliation":[{"name":"General Surgery City Hospital Birmingham Sandwell and West Birmingham Hospitals NHS Trust Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. J. 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