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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
2013 Impact Factor: 2.032
 
DOIhttp://dx.doi.org/10.1159/000094038
 
ISI Accession Number IDWOS:000239427800003
 
ReferencesReferences in Scopus
 
DC FieldValue
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
2013 Impact Factor: 2.032
 
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
 
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Author Affiliations
  1. The University of Hong Kong
  2. Queen Mary Hospital Hong Kong