Kann Brian R, Margolin David A, Brill Scott A, Hicks Terry C, Timmcke Alan E, Whitlow Charles B, Beck David E
Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, 1514 Jefferson Highway, New Orleans, Louisiana 70121, USA.
Dis Colon Rectum. 2006 Nov;49(11):1763-7. doi: 10.1007/s10350-006-0654-7.
The role of colonoscopy in the prevention of colorectal cancer has been accepted, not only by the medical community but by the federal government as well. This study sought to document the current role of colonoscopy in the practices of colorectal surgeons.
A survey was mailed to members of The American Society of Colon and Rectal Surgeons detailing the scope of colonoscopy in their practices.
Surveys were mailed to 1,800 members of The American Society of Colon and Rectal Surgeons; responses were received from 778 (43.2 percent). The mean age was 48 +/- 10 (range, 27-79) years; the mean number of years in practice was 14 +/- 10 (range, 0.2-48). The majority of respondents (91 percent) were male. Responses were received from 47 U.S. states and 30 foreign countries. Seventy-four respondents (9.5 percent) reported not performing colonoscopy; the most common reason cited was "referring physicians' preference" (45 percent). Seven-hundred four respondents (90.5 percent) reported performing colonoscopy as part of their clinical practice and reported an average of 41 +/- 41 colonoscopies in the last month (range, 0-635) and 457 +/- 486 in the last year (range, 2-7,000). Colonoscopy accounted for 23 +/- 16 percent of responding physicians' clinical time (range, 1-100 percent) and 27 +/- 19 percent of total charges (range, 0-100 percent). Nearly all respondents (97 percent) anticipated maintaining or increasing their volume of colonoscopy in the coming year. Eighty-four percent of respondents reported receiving some or all of their training in colonoscopy during a colon and rectal surgery fellowship. More than one-half of respondents (55 percent) believed that there should be more of an emphasis on colonoscopy on the American Board of Colon and Rectal Surgery board examination, and 81 percent believed that the annual meeting of The American Society of Colon and Rectal Surgeons should include lectures and/or courses covering colonoscopy.
Colonoscopy plays a major role in the practices of colorectal surgeons across the world, accounting for approximately one-quarter of clinical time and total charges. Based on the expectation that this trend will continue, The American Society of Colon and Rectal Surgeons needs to aggressively support its members not only in the technical aspects of colonoscopy but also in the practice management issues.
结肠镜检查在预防结直肠癌中的作用不仅已被医学界认可，也得到了联邦政府的认可。本研究旨在记录结肠镜检查在结直肠外科医生临床实践中的当前作用。
向美国结直肠外科医师协会成员邮寄了一份调查问卷，详细询问了他们临床实践中结肠镜检查的范围。
共向1800名美国结直肠外科医师协会成员邮寄了调查问卷；收到778份回复（43.2%）。平均年龄为48±10岁（范围27 - 79岁）；平均从业年限为14±10年（范围0.2 - 48年）。大多数受访者（91%）为男性。回复来自美国47个州和30个国家。74名受访者（9.5%）报告不进行结肠镜检查；最常见的原因是“转诊医生的偏好”（45%）。704名受访者（90.5%）报告在临床实践中进行结肠镜检查，且报告上个月平均进行41±41次结肠镜检查（范围0 - 635次），去年平均进行457±486次（范围2 - 7000次）。结肠镜检查占回复医生临床时间的23±16%（范围1 - 100%），占总收费的27±19%（范围0 - 100%）。几乎所有受访者（97%）预计在来年维持或增加结肠镜检查量。84%的受访者报告在结直肠外科专科培训期间接受了部分或全部结肠镜检查培训。超过一半的受访者（55%）认为美国结直肠外科医师委员会考试应更加强调结肠镜检查，81%的受访者认为美国结直肠外科医师协会年会应包括涵盖结肠镜检查的讲座和/或课程。
结肠镜检查在全球结直肠外科医生的临床实践中发挥着重要作用，约占临床时间和总收费的四分之一。基于这种趋势将持续的预期，美国结直肠外科医师协会不仅需要在结肠镜检查的技术方面，而且在实践管理问题上积极支持其成员。
