Journal article
New Mexico’s Capacity for Increasing the Prevalence of Colorectal Cancer Screening With Screening Colonoscopies
Preventing chronic disease, Vol.2(1), pp.A07-A07
PEER REVIEWED
2005
PMCID: PMC1323310
PMID: 15670460
Abstract
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.
Details
- Title: Subtitle
- New Mexico’s Capacity for Increasing the Prevalence of Colorectal Cancer Screening With Screening Colonoscopies
- Creators
- Richard M Hoffman - New Mexico VA Health Care SystemS. Noell Stone - University of New Mexico Cancer Center, Albuquerque, NMCarla Herman - University of New Mexico Cancer Center, Albuquerque, NMAnn Moore Jung - New Mexico Medical Society, Albuquerque, NMJane Cotner - University of New Mexico Cancer Center, Albuquerque, NMDavid Espey - Indian Health Services, Centers for Disease Control and Prevention, Albuquerque, NMRichard Kozoll - New Mexico Medical Society, Cuba, NMMichael W Gavin - Lovelace Sandia Health System, Albuquerque, NM
- Resource Type
- Journal article
- Publication Details
- Preventing chronic disease, Vol.2(1), pp.A07-A07
- Publisher
- Centers for Disease Control and Prevention
- Series
- PEER REVIEWED
- PMID
- 15670460
- PMCID
- PMC1323310
- ISSN
- 1545-1151
- eISSN
- 1545-1151
- Language
- English
- Date published
- 2005
- Academic Unit
- Epidemiology; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984094677802771
Metrics
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