{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T23:59:24Z","timestamp":1791935964174,"version":"4.3.4"},"reference-count":2,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[1988,2,1]],"date-time":"1988-02-01T00:00:00Z","timestamp":570672000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Soc Med"],"published-print":{"date-parts":[[1988,2]]},"abstract":"<jats:p>Of 500 consecutive patients with symptoms of colorectal disease referred to a specialist hospital for outpatient assessment, 305 were studied. There was a low incidence of examination by the general practitioner; less than half the patients had a rectal examination and 31% had no examination at all. In cases where GPs made a diagnosis, this was correct in half, which both demonstrates the potential for dangerous misdiagnosis and confirms the fact that many anorectal conditions can be identified by the history alone.<\/jats:p>\n                  <jats:p>It is suggested that direct-access clinics in a colorectal unit would minimize delay in accurate diagnosis. The resource implications for such a system would be limited in terms of special investigations and additional clinic facilities.<\/jats:p>","DOI":"10.1177\/014107688808100211","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T01:37:51Z","timestamp":1519781871000},"page":"87-88","source":"Crossref","is-referenced-by-count":25,"title":["General Practitioner Referral of Patients with Lower Gastrointestinal Symptoms"],"prefix":"10.1177","volume":"81","author":[{"given":"R G","family":"Springall","sequence":"first","affiliation":[{"name":"St Mark's Hospital, London EC1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I P","family":"Todd","sequence":"additional","affiliation":[{"name":"St Mark's Hospital, London EC1"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1988,2,1]]},"reference":[{"key":"bibr1-014107688808100211","doi-asserted-by":"publisher","DOI":"10.1007\/BF02586809"},{"key":"bibr2-014107688808100211","first-page":"327","volume":"219","author":"Williams J.T.","year":"1977","journal-title":"Practitioner"}],"container-title":["Journal of the Royal Society of Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014107688808100211","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014107688808100211","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:38:45Z","timestamp":1777527525000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/014107688808100211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,2]]},"references-count":2,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1988,2]]}},"alternative-id":["10.1177\/014107688808100211"],"URL":"https:\/\/doi.org\/10.1177\/014107688808100211","relation":{},"ISSN":["0141-0768","1758-1095"],"issn-type":[{"value":"0141-0768","type":"print"},{"value":"1758-1095","type":"electronic"}],"subject":[],"published":{"date-parts":[[1988,2]]}}}