Article: Colonoscopy demand and practice in a regional hospital over 9 years in Hong Kong: Resource implication for cancer screening

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TitleColonoscopy demand and practice in a regional hospital over 9 years in Hong Kong: Resource implication for cancer screening
AuthorsChan, AOO1
Hui, WM1
Chan, CK1
Lai, KC1
Hu, WHC1
Yuen, MF1
Wong, WM1
Lau, GKK1
Hui, CK1
Lam, SK1
Wong, BCY1 2
Issue Date2006
PublisherS Karger AG. The Journal's web site is located at http://www.karger.com/DIG
CitationDigestion, 2006, v. 73 n. 2-3, p. 84-88 [How to Cite?]
DOI: http://dx.doi.org/10.1159/000094038
AbstractBackground: 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 thetwo 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. Copyright © 2006 S. Karger AG.
ISSN0012-2823
2011 Impact Factor: 2.046
2011 SCImago Journal Rankings: 0.157
DOIhttp://dx.doi.org/10.1159/000094038
ISI Accession Number IDWOS:000239427800003
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorChan, AOO
dc.contributor.authorHui, WM
dc.contributor.authorChan, CK
dc.contributor.authorLai, KC
dc.contributor.authorHu, WHC
dc.contributor.authorYuen, MF
dc.contributor.authorWong, WM
dc.contributor.authorLau, GKK
dc.contributor.authorHui, CK
dc.contributor.authorLam, SK
dc.contributor.authorWong, BCY
dc.date.accessioned2010-09-06T07:20:52Z
dc.date.available2010-09-06T07:20:52Z
dc.date.issued2006
dc.description.abstractBackground: 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 thetwo 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. Copyright © 2006 S. Karger AG.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationDigestion, 2006, v. 73 n. 2-3, p. 84-88 [How to Cite?]
DOI: http://dx.doi.org/10.1159/000094038
dc.identifier.doihttp://dx.doi.org/10.1159/000094038
dc.identifier.epage88
dc.identifier.hkuros117741
dc.identifier.isiWOS:000239427800003
dc.identifier.issn0012-2823
2011 Impact Factor: 2.046
2011 SCImago Journal Rankings: 0.157
dc.identifier.issue2-3
dc.identifier.openurl
dc.identifier.pmid16788289
dc.identifier.scopuseid_2-s2.0-33745912605
dc.identifier.spage84
dc.identifier.urihttp://hdl.handle.net/10722/76404
dc.identifier.volume73
dc.languageeng
dc.publisherS Karger AG. The Journal's web site is located at http://www.karger.com/DIG
dc.publisher.placeSwitzerland
dc.relation.ispartofDigestion
dc.relation.referencesReferences in Scopus
dc.rightsDigestion. Copyright © S Karger AG.
dc.subject.meshAdolescent
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshChi-Square Distribution
dc.subject.meshColonoscopy - utilization
dc.subject.meshColorectal Neoplasms - epidemiology
dc.subject.meshFemale
dc.subject.meshHealth Services Needs and Demand
dc.subject.meshHong Kong - epidemiology
dc.subject.meshHumans
dc.subject.meshIncidence
dc.subject.meshMale
dc.subject.meshMass Screening
dc.subject.meshMiddle Aged
dc.subject.meshWaiting Lists
dc.titleColonoscopy demand and practice in a regional hospital over 9 years in Hong Kong: Resource implication for cancer screening
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong
  2. Queen Mary Hospital Hong Kong