The Volume and Capacity of Colonoscopy Procedures Performed at New York City Hospitals in 2002

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...

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Main Authors: Jennifer C.F. Leng, MD, MPH, Lorna E. Thorpe, PhD, Gabe E. Feldman, MD, MPH, MBA, MHA, Pauline A. Thomas, MD, Thomas R. Frieden, MD, MPH
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2005-01-01
Series:Preventing Chronic Disease
Subjects:
Online Access:http://www.cdc.gov/pcd/issues/2005/jan/04_0032.htm
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author Jennifer C.F. Leng, MD, MPH
Lorna E. Thorpe, PhD
Gabe E. Feldman, MD, MPH, MBA, MHA
Pauline A. Thomas, MD
Thomas R. Frieden, MD, MPH
author_facet Jennifer C.F. Leng, MD, MPH
Lorna E. Thorpe, PhD
Gabe E. Feldman, MD, MPH, MBA, MHA
Pauline A. Thomas, MD
Thomas R. Frieden, MD, MPH
author_sort Jennifer C.F. Leng, MD, MPH
collection DOAJ
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.
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spelling doaj.art-2acff68f1eb049a6bb851dd9d9db2afa2023-12-02T17:12:56ZengCenters for Disease Control and PreventionPreventing Chronic Disease1545-11512005-01-0121The Volume and Capacity of Colonoscopy Procedures Performed at New York City Hospitals in 2002Jennifer C.F. Leng, MD, MPHLorna E. Thorpe, PhDGabe E. Feldman, MD, MPH, MBA, MHAPauline A. Thomas, MDThomas R. Frieden, MD, MPHIntroduction 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.http://www.cdc.gov/pcd/issues/2005/jan/04_0032.htmchronic diseasepreventionpublic healthcolonoscopyNew York City
spellingShingle Jennifer C.F. Leng, MD, MPH
Lorna E. Thorpe, PhD
Gabe E. Feldman, MD, MPH, MBA, MHA
Pauline A. Thomas, MD
Thomas R. Frieden, MD, MPH
The Volume and Capacity of Colonoscopy Procedures Performed at New York City Hospitals in 2002
Preventing Chronic Disease
chronic disease
prevention
public health
colonoscopy
New York City
title The Volume and Capacity of Colonoscopy Procedures Performed at New York City Hospitals in 2002
title_full The Volume and Capacity of Colonoscopy Procedures Performed at New York City Hospitals in 2002
title_fullStr The Volume and Capacity of Colonoscopy Procedures Performed at New York City Hospitals in 2002
title_full_unstemmed The Volume and Capacity of Colonoscopy Procedures Performed at New York City Hospitals in 2002
title_short The Volume and Capacity of Colonoscopy Procedures Performed at New York City Hospitals in 2002
title_sort volume and capacity of colonoscopy procedures performed at new york city hospitals in 2002
topic chronic disease
prevention
public health
colonoscopy
New York City
url http://www.cdc.gov/pcd/issues/2005/jan/04_0032.htm
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