Literature DB >> 21160651

CT colonography: Friend or foe of practicing endoscopists.

Stacy B Menees1, Ruth Carlos, James Scheiman, Grace H Elta, A Mark Fendrick.   

Abstract

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.

Entities:  

Keywords:  Colonoscopy; Colorectal cancer; Computed tomographic colonography; Endoscopy; Screening; Virtual colonoscopy

Year:  2009        PMID: 21160651      PMCID: PMC2998846          DOI: 10.4253/wjge.v1.i1.51

Source DB:  PubMed          Journal:  World J Gastrointest Endosc


  19 in total

1.  Usefulness of CT colonography in patients with incomplete colonoscopy.

Authors:  M Macari; P Berman; M Dicker; A Milano; A J Megibow
Journal:  AJR Am J Roentgenol       Date:  1999-09       Impact factor: 3.959

2.  Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults.

Authors:  Perry J Pickhardt; J Richard Choi; Inku Hwang; James A Butler; Michael L Puckett; Hans A Hildebrandt; Roy K Wong; Pamela A Nugent; Pauline A Mysliwiec; William R Schindler
Journal:  N Engl J Med       Date:  2003-12-01       Impact factor: 91.245

3.  Standards for gastroenterologists for performing and interpreting diagnostic computed tomographic colonography.

Authors:  Don C Rockey; Matthew Barish; Joel V Brill; Brooks D Cash; Joel G Fletcher; Prateek Sharma; Sachin Wani; Maurits J Wiersema; Laura E Peterson; Jennifer Conte
Journal:  Gastroenterology       Date:  2007-09       Impact factor: 22.682

4.  Value of double-contrast barium enema performed immediately after incomplete colonoscopy.

Authors:  A L Brown; S J Skehan; T Greaney; J Rawlinson; S Somers; G W Stevenson
Journal:  AJR Am J Roentgenol       Date:  2001-04       Impact factor: 3.959

5.  Projected national impact of colorectal cancer screening on clinical and economic outcomes and health services demand.

Authors:  Uri Ladabaum; Kenneth Song
Journal:  Gastroenterology       Date:  2005-10       Impact factor: 22.682

6.  Computed tomographic colonography (virtual colonoscopy): a multicenter comparison with standard colonoscopy for detection of colorectal neoplasia.

Authors:  Peter B Cotton; Valerie L Durkalski; Benoit C Pineau; Yuko Y Palesch; Patrick D Mauldin; Brenda Hoffman; David J Vining; William C Small; John Affronti; Douglas Rex; Kenyon K Kopecky; Susan Ackerman; J Steven Burdick; Cecelia Brewington; Mary A Turner; Alvin Zfass; Andrew R Wright; Revathy B Iyer; Patrick Lynch; Michael V Sivak; Harold Butler
Journal:  JAMA       Date:  2004-04-14       Impact factor: 56.272

7.  Impact of bowel preparation on efficiency and cost of colonoscopy.

Authors:  Douglas K Rex; Thomas F Imperiale; Danielle R Latinovich; L Lisa Bratcher
Journal:  Am J Gastroenterol       Date:  2002-07       Impact factor: 10.864

8.  Accuracy of CT colonography for detection of large adenomas and cancers.

Authors:  C Daniel Johnson; Mei-Hsiu Chen; Alicia Y Toledano; Jay P Heiken; Abraham Dachman; Mark D Kuo; Christine O Menias; Betina Siewert; Jugesh I Cheema; Richard G Obregon; Jeff L Fidler; Peter Zimmerman; Karen M Horton; Kevin Coakley; Revathy B Iyer; Amy K Hara; Robert A Halvorsen; Giovanna Casola; Judy Yee; Benjamin A Herman; Lawrence J Burgart; Paul J Limburg
Journal:  N Engl J Med       Date:  2008-09-18       Impact factor: 91.245

9.  Community-based screening by colonoscopy or computed tomographic colonography in asymptomatic average-risk subjects.

Authors:  Rosie G Scott; John T Edwards; Lin Fritschi; Noellene M Foster; Richard M Mendelson; Geoffrey M Forbes
Journal:  Am J Gastroenterol       Date:  2004-06       Impact factor: 10.864

10.  Increased use of colorectal cancer tests--United States, 2002 and 2004.

Authors: 
Journal:  MMWR Morb Mortal Wkly Rep       Date:  2006-03-24       Impact factor: 17.586

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