https://scholars.lib.ntu.edu.tw/handle/123456789/594703
Title: | Rolling-out Screening Volume Affecting Compliance Rate and Waiting Time of FIT-based Colonoscopy | Authors: | Jen H.-H. Hsu C.-Y. Chen S.L.-S. Yen A.M.-F. Chiu S.Y.-H. Fann J.C.-Y. YI-CHIA LEE MING-SHIANG WU WEN-FENG HSU Peng S.-M. Chen, Tony Hsiu Hsi HAN-MO CHIU |
Issue Date: | 2018 | Publisher: | Lippincott Williams and Wilkins | Journal Volume: | 52 | Journal Issue: | 9 | Start page/Pages: | 821-827 | Source: | Journal of Clinical Gastroenterology | Abstract: | Background and Study Aims: The population-based colorectal cancer screening program with fecal immunochemical test (FIT) from the inaugural period to the rolling-out period may create a higher demand for colonoscopies, but such a change has not been quantified. We intended to assess the change in the compliance rate and the waiting time (WT) for a colonoscopy and the associated geographic and institutional variations across the 2 periods. Materials and Methods: Data from the Taiwanese nationwide colorectal cancer screening program were analyzed. The data included a total of 46,235 FIT-positive cases of 1,258,560 tests in the inaugural period (2004 to 2009) and 270,700 FIT-positive cases of 3,723,789 tests in the rolling-out period (2010 to 2013). The compliance rate and WT for colonoscopy after positive FIT was ascertained and compared between the 2 periods. Results: The rolling-out period resulted in a decline of 16.0% for compliance rate and yielded an additional 1,778,499 waiting days with variation across geography and institution. After adjusting for relevant factors, a decrease in compliance rate by 8.5% and an increase of 714,648 waiting days were still noted. In the rolling-out period, a remarkable decline in compliance rate by 9.8% was found in middle Taiwan, and the longest WT (1,260,109 d) was observed in southern Taiwan. Screening at public health centers led to a 19% decrease in compliance rate and an increase of 2,546,746 waiting days. Conclusions: The decrease in compliance rate and an increase in the WT with variation across geography and institution resulting from the increased volume of rolling-out FIT screening provide an insight into optimal resource allocation of clinical capacity for colonoscopy. Copyright ? 2017 Wolters Kluwer Health, Inc. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054020531&doi=10.1097%2fMCG.0000000000000955&partnerID=40&md5=cf08ffe31a4c5fce5093df0bcb4edb9e https://scholars.lib.ntu.edu.tw/handle/123456789/594703 |
ISSN: | 0192-0790 | DOI: | 10.1097/MCG.0000000000000955 | SDG/Keyword: | aged; chemistry; colonoscopy; colorectal tumor; early cancer diagnosis; feces; female; hospital admission; human; male; mass screening; middle aged; occult blood; patient compliance; procedures; Taiwan; Aged; Colonoscopy; Colorectal Neoplasms; Early Detection of Cancer; Feces; Female; Humans; Male; Mass Screening; Middle Aged; Occult Blood; Patient Compliance; Taiwan; Waiting Lists |
Appears in Collections: | 醫學系 |
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