Colonoscopy demand and practice in a regional hospital over 9 years in Hong Kong: resource implication for cancer screening
| Autor: | Annie On-On Chan, Wai Mo Hui, Chi Kin Hui, Kam Chuen Lai, Benjamin C.Y. Wong, Wai Man Wong, George K. K. Lau, Shiu Kum Lam, Wayne H. C. Hu, CK Chan, Man-Fung Yuen |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Resource (biology) Adolescent Waiting Lists Colorectal cancer Colonoscopy Cancer screening medicine Humans Mass Screening Aged Gynecology Aged 80 and over Health Services Needs and Demand Chi-Square Distribution medicine.diagnostic_test business.industry Incidence (epidemiology) Incidence Gastroenterology Middle Aged medicine.disease Regional hospital Family medicine Hong Kong Female business Colorectal Neoplasms |
| Zdroj: | Digestion. 73(2-3) |
| ISSN: | 0012-2823 |
| Popis: | Background: The incidence of colorectal cancer (CRC) in Hong Kong is rising. The trend of colonoscopy demand is uncertain. Aim: To investigate colonoscopy demand and practice in a Hong Kong regional hospital over the past nine years. Methods: Colonoscopy data from 1st January 1997 to 31st August 2005 were retrieved and divided into two equal periods for comparison. Colonoscopy practice and findings between the two periods were compared. Results: There was no change in the number of endoscopists and colonoscopy sessions in the two periods. The number of colonoscopy done in the two periods was 2,681 and 2,871, respectively. The indications for screening of CRC/polyp (9.3 vs. 24.7%, p < 0.0001) and surveillance of CRC/polyp (4.7 vs. 10.9%, p < 0.0001) were increased, but decreased for diarrhea (18 vs. 10.2%, p < 0.0001) and per rectal bleeding (19 vs. 8.1%, p < 0.0001). The waiting time was lengthened from 2 to 4 weeks (p < 0.0001). The percentage of colonic adenomas (19.9 vs. 27.2%, p < 0.0001) was increased. A right-shift was observed in both CRC (37 vs. 50%, p = 0.018) and adenoma (21.6 vs. 38.1%, p < 0.0001). Conclusion: The number of colonoscopies performed was governed by capacity partly through lengthening of waiting time to cope with demand. Ways to improve capacity for colonoscopies is needed. |
| Databáze: | OpenAIRE |
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