New Mexico’s Capacity for Increasing the Prevalence of Colorectal Cancer Screening With Screening Colonoscopies

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Hoffman, Richard M ; Stone, S. Noell ; Herman, Carla ; Moore Jung, Ann ; Cotner, Jane ; Espey, David ; Kozoll, Richard ; Gavin, Michael W
• Description:
  Introduction
  
  Colorectal cancer screening rates are low throughout the United States. Colonoscopy has been recommended as a cost-effective strategy for colorectal cancer screening and prevention. We evaluated New Mexico's capacity to increase the prevalence of colorectal cancer screening using colonoscopy.
  
  Methods
  
  We identified New Mexican gastroenterologists from state licensing data and from endoscopic manufacturers. We surveyed gastroenterologists on their weekly number of colonoscopies, capacity for additional screening colonoscopies, and barriers to increasing capacity. We used census data, published data on the yield of screening colonoscopy, and professional society guidelines for cancer/polyp surveillance to estimate the additional colonoscopies required to increase the state's prevalence of endoscopic screening.
  
  Results
  
  Forty gastroenterologists, representing all 11 group practices in the state, and nine of 12 solo practitioners responded. They estimated that their weekly procedure capacity could be increased by 41%, from 832 to 1174 colonoscopies. We estimated an annual capacity increase of 14,880 procedures, which could increase the prevalence of endoscopic colorectal cancer screening from the current 35% to about 50% over five years. Lack of support staff, space, and physicians were barriers to increasing screening.
  
  Conclusion
  
  Implementing a screening colonoscopy strategy could achieve the goal of a higher level of colorectal screening. However, achieving more universal screening would require additional testing modalities.
  
  
• Subjects:
  Colonoscopy Colorectal Neoplasms Feasibility Studies Humans Mass Screening Original Research
• Source:
  Prev Chronic Dis. 2005; 2(1).
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  New Mexico
• Location:
  North America
• Volume:
  2
• Issue:
  1
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:a8031157f6dc2caad1525ae487eb2384a27492f457665ff0473924088864aa0e59e8b00d9c513cd8b79119aa377088153d6f5042cced168a4f9668bb614bfb9d
• Download URL:
  https://stacks.cdc.gov/view/cdc/19895/cdc_19895_DS1.pdf
• File Type:
  [PDF - 284.85 KB ]