Rural-urban differences in colorectal cancer screening capacity in Arizona

Jose G Benuzillo; Elizabeth T Jacobs; Richard M Hoffman; Russell I Heigh; Peter Lance; María Elena Martínez

doi:10.1007/s10900-009-9185-1

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Rural-urban differences in colorectal cancer screening capacity in Arizona

Journal article

Peer reviewed

Rural-urban differences in colorectal cancer screening capacity in Arizona

Jose G Benuzillo, Elizabeth T Jacobs, Richard M Hoffman, Russell I Heigh, Peter Lance and María Elena Martínez

Journal of community health, Vol.34(6), pp.523-528

12/2009

DOI: 10.1007/s10900-009-9185-1

PMID: 19728054

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Abstract

Colorectal cancer can be prevented via screening by the detection and removal of colorectal adenomas. Few data exist on screening capacity by rural/urban areas. Therefore, the aims of this work were to evaluate current colorectal cancer endoscopy screening capacity and to estimate potential volume for rural and urban regions in Arizona. Gastroenterologists and colorectal surgeons practicing in Arizona completed a survey (n = 105) that assessed current colonoscopy and sigmoidoscopy screening and estimated future capacity. Resources needed to increase capacity were identified, and differences between rural and urban regions were examined. Responders were more likely to practice in an urban region (89.5%). Physicians reported performing 8,717 endoscopic procedures weekly (8,312 in urban and 405 in rural regions) and the vast majority were colonoscopies (91% in urban and 97% in rural regions). Urban physicians estimated being able to increase their capacity by 35.7% (95% confidence interval 34.7-35.7) whereas rural physicians estimated an increase of 53.1% (95% confidence interval 48.1-58.0). The most commonly cited resource needed to increase capacity was a greater number of physicians in urban regions (52.1%); while the top response in rural areas was appropriate compensation (54.6%). Lastly, 27.3% of rural physicians noted they did not need additional resources to increase their capacity. In conclusion, Arizona has the ability to expand colorectal cancer screening endoscopic capacity; this potential increase was more pronounced in rural as compared to urban regions.

Humans

Middle Aged

Rural Health Services - statistics & numerical data

Gastroenterology - statistics & numerical data

Male

Colorectal Neoplasms - diagnosis

Early Detection of Cancer - utilization

Practice Patterns, Physicians' - statistics & numerical data

Colonoscopy - utilization

Healthcare Disparities

Adult

Female

Urban Health Services - statistics & numerical data

Aged

Health Resources

Sigmoidoscopy - utilization

Arizona

Needs Assessment

Details

Title: Subtitle: Rural-urban differences in colorectal cancer screening capacity in Arizona
Creators: Jose G Benuzillo - Salt Lake City Veterans Affairs Health Care System, University of Utah, Salt Lake City, UT 84148, USA
Elizabeth T Jacobs
Richard M Hoffman
Russell I Heigh
Peter Lance
María Elena Martínez
Resource Type: Journal article
Publication Details: Journal of community health, Vol.34(6), pp.523-528
DOI: 10.1007/s10900-009-9185-1
PMID: 19728054
ISSN: 0094-5145
eISSN: 1573-3610
Grant note: CA-41108 / NCI NIH HHS CA95060 / NCI NIH HHS K07 CA106269 / NCI NIH HHS CA-23074 / NCI NIH HHS
Language: English
Date published: 12/2009
Academic Unit: Epidemiology; General Internal Medicine; Internal Medicine
Record Identifier: 9984094522202771

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12 Times Cited - Web of Science