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Gastroenterology service in a teaching hospital in rural New Zealand, 1991-2003

World Journal of Gastroenterology 2009年第5期15卷 583-590页

作者： Michael Schultz Andrew Davidson Sarah Donald bogna targonska Angus Turnbull Susan Weggery Vicki Livingstone John D Dockerty Department of Medical and Surgical Sciences University of Otago PO Box 913 Dunedin New Zealand and Department of Gastroenterology Dunedin Public Hospital Otago District Health Board Dunedin New Zealand Dunedin School of Medicine University of Otago Dunedin New Zealand Department of Preventive and Social Medicine University of Otago Dunedin New Zealand

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 (inand 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 fi ndings have implications for the recruitment and training of the next generation of gastroenterologists.

关键词： Colonoscopy Colorectal cancer Diseasetrends Endoscopy Gastroenterology Hepatitis Inflammatory bowel disease Recruitment Workforce

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