Use of clinical criteria avoids scopes

UNNECESSARY colonoscopies in young women could be reduced if doctors relied on standard clinical criteria to triage, an Australian study suggests.

A retrospective audit of 100 consecutive colonoscopy records for women younger than 30 at Royal Adelaide Hospital found that among the 28 patients with only ‘relative’ rather than ‘clear’ indications for colonoscopy, none was found to have any abnormality.

“If there’s no clinically obvious reason to do a colonoscopy in a young woman, then your pick-up is