Gastroenterology service in a teaching hospital in rural New Zealand, 1991-2003.
World J Gastroenterol
; 15(5): 583-90, 2009 Feb 07.
Article
em En
| MEDLINE
| ID: mdl-19195060
ABSTRACT
AIM:
To retrospectively collect inpatient and outpatient data and to assess the use of endoscopic procedures during the years 1991, 1997 and 2003 to analyse for trends.METHODS:
This retrospective survey was conducted in a University-associated Gastroenterology Unit offering secondary and tertiary health care services for a population of approximately 182,000 people in Southern New Zealand. Data collected included patient contacts (in- and outpatients), gastroscopic and colonoscopic investigations.RESULTS:
We observed a significant increase in the absolute numbers of patient contacts over the years (1991 2308 vs 1997 2022 vs 2003 2783, P < 0.0001) with inflammatory bowel disease, other diseases of the colon, anus and rectum and iron studies related disorders decreasing significantly but liver disease and constipation increasing linearly over time. The use of endoscopy services remained relatively stable but colonoscopic investigations for a positive family history of colorectal cancer increased significantly while more gastroscopies were performed for unexplained anaemia.CONCLUSION:
The whole spectrum of gastroenterology contacts was studied. A substantial proportion of colonoscopies and outpatient consultations were undertaken to screen for colorectal cancer. This proportion is likely to grow further. Our findings have implications for the recruitment and training of the next generation of gastroenterologists.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Endoscopia
/
Gastroenterologia
/
Hospitais de Ensino
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Oceania
Idioma:
En
Revista:
World J Gastroenterol
Ano de publicação:
2009
Tipo de documento:
Article