Patterns of use of flexible sigmoidoscopy, colonoscopy and gastroscopy (Part 1)

health care resourcesWhen health care resources are limited, the understanding of how medical procedures are used in a population is important to identify potential inequities or inefficiencies and to plan for future needs. Since the advent of flexible endoscopes in the late 1960s, endoscopy of the upper and lower gastrointestinal (GI) tract has assumed a critical role in the diagnosis and treatment of disorders of the esophagus, stomach, duodenum, terminal ileum and colon. The most commonly performed endoscopic procedures of the GI tract are flexible sigmoidoscopy, colonoscopy and esophagogastro-duodenoscopy.

Changing patterns of use , especially for screening for malignant or premalignant lesions, has the potential to put an increasing burden on endoscopy resources at a regional, provincial and even national level. Although there is a general impression of increasing endoscopy rates, this has not been defined in a Canadian setting. Gastroscopy rates increased by 128% from 1988 to 1998 in Australia . The use of endoscopy for cancer screening has the potential to markedly increase procedure rates, not only through the initial screening procedure but also through the need for ongoing surveillance in those with abnormal baseline studies.

Identifying regional variations in procedures rates may highlight possible inequities in health service delivery. Furthermore, regional variations can have consequences on the costs of the health care system, on the health of the population and on health care policies. It’s time for you to save some of the money every time you buy celexa online click here enjoying high level of service and amazingly cheap medications that can always be relied upon no matter which medical problems you have.

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