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  1. Feasibility of high-volume screening sigmoidoscopy using a flexible fiberoptic endoscope and a disposable sheath system.

    Article - En anglais

    Objectives 

    Sigmoidoscopy is an effective screening test for colorectal cancer but has yet to have a major impact on mortality because, in part, of inadequate utilization by physicians.

    To address concerns of inefficient use of time and resources, we examined the feasibility of high volume, single-day flexible sigmoidoscopy (FS) screening sessions using an innovative fiberoptic sigmoidoscope with a disposable sheath system.

    Methods 

    All City of Boston employees over the age of 50 yr (n=6137) were invited by mail to undergo a screening FS at Boston City Hospital (BCH).

    Respondents (n=564) were contacted by phone by the program coordinator on receipt of a prepaid postcard and were scheduled (n=227) consecutively into 15-min slots on 1 of 6 1/2-day (3-h) weekend sessions.

    Preregistration was completed at BCH during the week before each session and included enrollment, completion of a brief risk questionnaire, documentation of informed consent, and bowel prep instructions.

    Procedures were performed by three physician endoscopists rotating among four endoscopy rooms per session.

    Each room was staffed with a nurse to aid in patient care and a technician to set up equipment.

    Results 

    A total of 198 of the 227 (87%) scheduled patients underwent screening FS during the three sessions.

    Physicians performed a mean of 3.5 procedures per room per hour, or 4.7 procedures per hour overall, with a mean depth of scope insertion of 51 ± 10 cm and a mean procedure time of 4.7 ± 3. (...)

    Mots-clés Pascal : Carcinome, Côlon, Rectum, Colonoscopie, Côlon sigmoïde, Dépistage, Grande dimension, Equipement, Interchangeabilité, Faisabilité, Efficacité, Analyse avantage coût, Résultat, Homme, Tumeur maligne, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie, Endoscopie

    Mots-clés Pascal anglais : Carcinoma, Colon, Rectum, Colonoscopy, Pelvic colon, Medical screening, Large dimension, Equipment, Interchangeability, Feasibility, Efficiency, Cost benefit analysis, Result, Human, Malignant tumor, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease, Endoscopy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0373197

    Code Inist : 002B24E06. Création : 10/04/1997.