Graeme C Miller
Between January 2008 and December 2009 in the BEACH
(Bettering the Evaluation and Care of Health) program,
perianal problems were managed in general practice at a
rate of 0.7 per 100 encounters, about 800 000 times per year
nationally. Here we present an overview of perianal problems
and discuss haemorrhoids in particular.
The most common perianal problem managed by general practitioners was haemorrhoids, which accounted for 43% of these problems. Rectal bleeding made up 24% and anal fissure/perianal abscess accounted for 19% (Table 1). The management rate of perianal problems was significantly higher for male patients (0.8 per 100 encounters) than for female patients (0.6). The rate was also significantly higher for patients aged 25–44 years (0.9 per 100 encounters) compared with all other age groups.
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