Colorectal cancer screening: Estimated future colonoscopy need and current volume and capacity.

Colorectal cancer screening: Estimated future colonoscopy need and current volume and capacity.
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DOI:
10.1002/cncr.30070
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发表时间:
2016-08-15
期刊:
影响因子:
6.2
通讯作者:
van Ballegooijen M
van Ballegooijen M
中科院分区:
医学1区
文献类型:
--
作者:
Joseph DA;Meester RG;Zauber AG;Manninen DL;Winges L;Dong FB;Peaker B;van Ballegooijen M

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2014年,美国发起了一项全国性运动,到2018年将结直肠癌(CRC)筛查率提高到80%;目前尚不清楚是否有足够的结肠镜检查能力来实现这一目标。我们估计需要结肠镜检查的数量,以筛选80%的合格人群与粪便免疫化学检测(FIT)或结肠镜检查,如果有足够的结肠镜检查能力,以满足需求。微模拟筛选分析-结肠(MISCAN-colon)模型用于模拟美国(2014-2040年)的CRC筛选测试使用,假设2014年实施了国家筛选计划,其中80%的参与者采用FIT或结肠镜检查。2012年内窥镜检查能力调查(SECAP)估计了进行的结肠镜检查数量和可以进行的数量。如果在2014年开始国家筛查计划,到2024年,每年将需要大约4700万次FIT和510万次结肠镜检查,以筛查合格人群,使用FIT作为主要筛查测试;每年将需要大约1100万至1300万次结肠镜检查,以筛查合格人群,仅使用结肠镜检查筛查计划。根据SECAP调查,2012年估计进行了1500万次结肠镜检查,另外还可以进行1050万次结肠镜检查。估计的结肠镜检查能力足以通过FIT,结肠镜检查或测试组合筛选80%的合格美国人口。未来的分析应考虑到结肠镜检查能力的地理分布。
In 2014 a national campaign was launched to increase colorectal cancer (CRC) screening rates in the U.S. to 80% by 2018; it is unknown if there is sufficient colonoscopy capacity to reach this goal. We estimate the number of colonoscopies needed to screen 80% of the eligible population with fecal immunochemical testing (FIT) or colonoscopy, and if there is sufficient colonoscopy capacity to meet the need. The Microsimulation Screening Analysis-colon (MISCAN-colon) model was used to simulate CRC screening test use in the U.S. (2014–2040), assuming the implementation of a national screening program in 2014 with FIT or colonoscopy with 80% participation. The 2012 Survey of Endoscopic Capacity (SECAP) estimated the number of colonoscopies that were performed and the number that could be performed. If a national screening program started in 2014, by 2024, approximately 47 million FITs and 5.1 million colonoscopies would be needed annually to screen the eligible population with a program using FIT as the primary screening test; approximately 11 to 13 million colonoscopies would be needed annually to screen the eligible population with a colonoscopy only screening program. Based on the SECAP survey, an estimated 15 million colonoscopies were performed in 2012 and an additional 10.5 million colonoscopies could be performed. The estimated colonoscopy capacity is sufficient to screen 80% of the eligible U.S. population with FIT, colonoscopy, or a mix of tests. Future analyses should take into account the geographic distribution of colonoscopy capacity.
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