Colonoscopy demand and capacity in New Hampshire.
Colonoscopy demand and capacity in New Hampshire.
复制标题
新罕布什尔州的结肠镜检查需求和能力。
DOI：
10.1016/j.amepre.2006.08.026
复制
发表时间：
2007
影响因子：
5.5
通讯作者：
Dietrich,Allen
中科院分区：
文献类型：
--
作者：
Butterly,Lynn;Olenec,Christopher;Goodrich,Martha;Carney,Patricia;Dietrich,Allen
结直肠癌的筛查已经清楚地表明可以降低这种疾病的发病率和死亡率。关于筛查需求和能力的准确信息，特别是结肠镜检查，在规划筛查策略中至关重要。国家评估最近已经开始;对较小地理区域的估计应能提高国家估计的准确性，并为各州的战略提供信息。本研究评估了新罕布什尔州的结肠镜检查的需求和能力。方法所有的内镜检查站点在新罕布什尔州的状态进行了联系，以确定他们的内窥镜医生，每月结肠镜检查的数量，并估计结肠镜检查的百分比进行筛选。还评估了提高现有能力的障碍。将能力估计数与基于人口普查数字的需求估计数进行了比较。数据收集于2003年至2004年，并在2005年至2006年进行分析。2002年，36个中心的114名内镜医师进行了49,352次结肠镜检查，平均每位内镜医师每月进行39至43次结肠镜检查。估计约60%的患者已完成筛查。估计的需求大约是现有筛查和监测能力的两倍。的影响因素，如依从性，百分比筛选，和人口增长进行了评估，以告知未来的筛选strategies.CONCLUSIONSIn 2002年，筛查结肠镜检查在新罕布什尔州的患者年龄超过50岁的需求约两倍的可用容量。然而，如果2002年评估的筛查能力增加20%，并将60%的人群依从筛查作为初始目标，那么新罕布什尔州对结肠镜检查的需求将得到满足。
BACKGROUNDScreening for colorectal cancer has been clearly shown to decrease the incidence and mortality from this disease. Accurate information about the demand and capacity for screening, particularly with colonoscopy, is critical in planning screening strategies. National assessments have recently begun; estimates of smaller geographic regions should improve the accuracy of national estimates, as well as inform strategies for individual states. This study evaluates the demand and capacity for colonoscopy in the state of New Hampshire.METHODSAll endoscopy sites in the state of New Hampshire were contacted to determine their number of endoscopists, monthly colonoscopies, and estimates of the percentage of colonoscopy done for screening. Barriers to increasing current capacity were also assessed. The capacity estimates were compared to demand estimates based on population census figures. Data were collected in 2003 to 2004 and analyzed in 2005 to 2006.RESULTSOne hundred fourteen endoscopists at 36 centers performed 49,352 colonoscopies in 2002, an average of 39 to 43 total monthly colonoscopies per endoscopist. Approximately 60% were estimated to have been done for screening. Estimated demand was approximately twice the available capacity for screening and surveillance. The impact of factors such as compliance, percent screening, and population growth were assessed to inform future screening strategies.CONCLUSIONSIn 2002, demand for screening colonoscopy in New Hampshire for patients aged more than 50 years was approximately twice the available capacity. However, if the assessed screening capacity of 2002 were to increase by 20%, combined with a target of 60% population compliance with screening as an initial goal, the demand for colonoscopy in New Hampshire would be met.