Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Leng, Jennifer C. F. ; Thorpe, Lorna E. ; Feldman, Gabe E. ; Thomas, Pauline A. ; Frieden, Thomas R.
Leng, Jennifer C. F. ; Thorpe, Lorna E. ; Feldman, Gabe E. ; Thomas, Pauline A. ; Frieden, Thomas R. Less -
Description:
Introduction

Colorectal cancer is the second leading cause of cancer death in New York City. In March 2003, the New York City Department of Health and Mental Hygiene recommended colonoscopy every 10 years as the preferred screening test for adults aged 50 years and older in New York City. To screen all eligible adults in New York City would require that approximately 200,000 colonoscopy exams be performed annually. As part of this recommendation, we evaluated current colonoscopy capacity in New York City hospitals.

Methods

We surveyed endoscopy suite nursing or administrative staff at all 66 adult acute care hospitals performing colonoscopy in New York City. Data on colonoscopy procedures performed in 2002 were collected between February and June 2003.

Results

All hospitals and two affiliated clinics responded. The number of hospital-based colonoscopy exams performed in 2002 was estimated to be 126,000. Of these, 53,600 (43%) were estimated to be for screening. Hospitals reported their maximum annual capacity to be 195,200, approximately 69,100 more than current practice. Reported barriers to performing more colonoscopy exams included inadequate suite time and space (31%), inadequate staffing (28%), and insufficient patient referrals (24%).

Conclusion

In 2003, endoscopy suites at New York City hospitals performed approximately one quarter of the estimated citywide need of 200,000 screening colonoscopies. Procedures conducted in outpatient office settings were not assessed. Most endoscopy suites, particularly private hospitals, reported having the capacity to conduct additional procedures. Hospitals and endoscopy suites should prioritize the development of institutional measures to increase the number of persons receiving screening colonoscopy.


Subjects:
[+]
Colonoscopy Hospitals, Urban Humans Interviews As Topic
Source:
Prev Chronic Dis. 2005; 2(1).
Document Type:
Journal Article
Place as Subject:
New York City, NY
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:e28be5a9c5cac9f1e595fd0e7502d3f32083402eb216a9455dd317baecf7143f
Download URL:
https://stacks.cdc.gov/view/cdc/19897/cdc_19897_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD21A09.nxml	txt

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