CT colonography:Friend or foe of practicing endoscopists  

作　　者：Stacy B Menees Ruth Carlos James Scheiman Grace H Elta A Mark Fendrick 

机构地区：[1]Division of Gastroenterology,University of Michigan,Ann Arbor,MI 48109,United States [2]Division of Radiology,University of Michigan,Ann Arbor,MI 48109,United States [3]Division of Internal Medicine,University of Michigan,Ann Arbor,MI 48109,United States

出　　处：《World Journal of Gastrointestinal Endoscopy》2009年第1期51-55,共5页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：AIM:To investigate the perceived impact of computed tomographic colonography(CTC) on endoscopists' current and future practice.METHODS:A 21-question survey was mailed to 1570 randomly chosen American Society for Gastrointestinal Endoscopy(ASGE) members.Participants reported socio-demographics,colonoscopy volume,percentage of colonoscopies performed for screening,and likelihood of integration of CTC into their practice.RESULTS:A total of 367 ASGE members(23%) returned the questionnaire.Respondents were predominantly male(> 90%) and white(83%) with an average age of 49 years.Most respondents(58%) had no plans to incorporate CTC into daily practice and only 7% had already incorporated CTC into daily practice.Private practice respondents were the least likely to incorporate this modality into their daily practice(P=0.047).Forty-three percent of participants were willing to take courses on CTC reading,particularly those with the highest volume of colonoscopy(P=0.049).Forty percent of participants were unsure of CTC's impact on future colonoscopy volume while 21% and 18% projected a decreased and increased volume,respectively.The estimated impact of CTC volume varied significantly by age(P=0.002).Respondents > 60 years felt that CTC would increase colonoscopy,whereas those < 40 years thought CTC would ultimately decrease colonoscopy.CONCLUSION:Practicing endoscopists are not enthusiastic about the incorporation of CTC into their daily practice and are unsure of its future impact on their practice.AIM: To investigate the perceived impact of computed tomographic colonography (CTC) on endoscopists’ current and future practice.METHODS: A 21-question survey was mailed to 1570 randomly chosen American Society for Gastrointestinal Endoscopy (ASGE) members. Participants reported socio-demographics, colonoscopy volume, percentage of colonoscopies performed for screening, and likelihood of integration of CTC into their practice.RESULTS: A total of 367 ASGE members (23%) returned the questionnaire. Respondents were predominantly male (> 90%) and white (83%) with an average age of 49 years. Most respondents (58%) had no plans to incorporate CTC into daily practice and only 7% had already incorporated CTC into daily practice. Private practice respondents were the least likely to incorporate this modality into their daily practice ( P = 0.047). Forty-three percent of participants were willing to take courses on CTC reading, particularly those with the highest volume of colonoscopy ( P = 0.049). Forty percent of participants were unsure of CTC’ s impact on future colonoscopy volume while 21% and 18% projected a decreased and increased volume, respectively. The estimated impact of CTC volume varied significantly by age ( P = 0.002). Respondents > 60 years felt that CTC would increase colonoscopy, whereas those < 40 years thought CTC would ultimately decrease colonoscopy. CONCLUSION: Practicing endoscopists are not enthusiastic about the incorporation of CTC into their daily practice and are unsure of its future impact on their practice.

关 键 词：COMPUTED tomographic COLONOGRAPHY Virtual COLONOSCOPY Endoscopy COLONOSCOPY Screening COLORECTAL cancer 

分 类 号：R574.62[医药卫生—消化系统]