Department of Gastroenterology and Hepatology, VU University Medical Centre, P.O. Box 7057, 1007, MB Amsterdam, The Netherlands.
BMC Cancer. 2012 Jan 26;12:46. doi: 10.1186/1471-2407-12-46.
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.
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.
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 15 European countries.
Over the last years, endoscopic procedures increased markedly in The Netherlands without a corresponding increase in manpower. A FIT-based CRC screening program requires an estimated additional 15% increase in endoscopic procedures. It is very likely that current colonoscopy density varies widely across European countries.
结直肠癌（CRC）筛查需要充足的内镜资源。本研究旨在确定 2009 年荷兰的内镜工作量和人力情况，评估自 2004 年以来的趋势，确定实施 CRC 筛查计划所带来的额外工作量，并统计其他欧洲国家实施的结肠镜检查率。
对所有荷兰内镜单位（N=101）进行人力调查，并统计 2009 年的内镜检查数量。根据荷兰卫生理事会报告中的计算，估计粪便免疫化学试验（FIT）筛查带来的未来额外工作量。通过文献检索和电子邮件查询评估欧洲的结肠镜检查数量。
与 2004 年相比，荷兰的总内镜检查数量增加了 24%（2009 年为 505226 例），结肠镜检查数量增加了 64%（2009 年为 191339 例）。内镜医生数量增加了 4.6%（2009 年为 583 人）。在逐步实施基于 FIT 的 CRC 筛查五年后，内镜容量需要额外增加 15%。我们发现，欧洲各国发表的结肠镜检查数量数据不足。根据我们的电子邮件查询，15 个欧洲国家的每 10 万居民结肠镜检查数量范围为 126 至 3031 例。
在过去几年中，荷兰的内镜检查数量显著增加，但人力没有相应增加。基于 FIT 的 CRC 筛查计划需要估计增加 15%的内镜检查数量。很可能欧洲各国目前的结肠镜检查密度差异很大。
