原创力文档anticipating implementation of colorectal cancer screening in the netherlands a nation wide survey on endoscopic supply and demand预期实现的结直肠癌筛查在荷兰一个国家广泛调查内窥镜供给和需求.pdfVIP
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anticipating implementation of colorectal cancer screening in the netherlands a nation wide survey on endoscopic supply and demand预期实现的结直肠癌筛查在荷兰一个国家广泛调查内窥镜供给和需求
van Turenhout et al. BMC Cancer 2012, 12:46
/1471-2407/12/46
RESEARCH ARTICLE Open Access
Anticipating implementation of colorectal cancer
screening in The Netherlands: a nation wide
survey on endoscopic supply and demand
1* 1 2 3,4 1,4
Sietze T van Turenhout , Jochim S Terhaar sive Droste , Gerrit A Meijer , Ad A Masclée and Chris JJ Mulder
Abstract
Background: Colorectal cancer (CRC) screening requires sufficient endoscopic resources. The present study aims to
determine the Dutch endoscopic production and manpower for 2009, evaluate trends since 2004, determine
additional workload which would be caused by implementation of a CRC screening program, and inventory
colonoscopy rates performed in other European countries.
Methods: All Dutch endoscopy units (N = 101) were surveyed for manpower and the numbers of endoscopy
procedures performed in 2009. Based on calculations in the report issued by the Dutch Health Council, future
additional workload caused by faecal immunochemical test (FIT) screening was estimated. The number of
colonoscopies performed in Europe was evaluated by a literature search and an email-inquiry.
Results: Compared to 2004, there was a 24% increase in total endoscopies (N = 505,226 in 2009), and a 64%
increase in colonoscopies (N = 191,339 in 2009) in The Netherlands. The number of endoscopists had increased by
4.6% (N = 583 in 2009). Five years after stepwise implementation of FIT-based CRC screening, endoscopic capacity
needs to be increased an additional 15%. A lack of published data on the number of endoscopies performed in
Europe was found. Based on our email-inquiry, the number of colonoscopies per 100,000 inhabitants ranged from
126 to 3,031 in
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