Digestive endoscopy in Tanzania

Qu, Lei; Gubi, Mariam Mohamed

doi:10.1016/j.ajg.2022.09.001

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…[ 1 , 2 ] Globally, its technique and practice vary widely, with developed countries experiencing superiority in resources and development that some have even plateaued. [ 3 , 4 , 5 ] In contrast, in developing countries, such as Tanzania [ 6 ] Indonesia [ 7 ] and China [ 8 , 9 ] hu e anana, nonesa, anna, uge gaps and potential growth have always been seen.…”

Section: Introductionmentioning

confidence: 99%

Development and status quo of digestive endoscopy in China: An analysis based on the national census in 2013 and 2020

Jiao,

Cheng,

Gao

et al. 2024

Journal of Translational Internal Medicine

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Background and Objectives Technique and practice of digestive endoscopy are undergoing speedy development all over the world. This study aimed to evaluate its status quo and development in China. Methods All hospitals performing digestive endoscopy in mainland China participated in the national census in 2013 and 2020. Retrospective data of hospitals, endoscopists, volumes, and qualities were collected via an online structured questionnaire, and its accuracy and rationality were verified by logical tests and manual reviews. Data from other countries were used to compare with that of China. Results From 2012 to 2019, the number of hospitals performing digestive endoscopy increased from 6,128 to 7,470 (1.22-fold), in which primary healthcare played a minor role. The median hospitals per 100,000 inhabitants per provincial region increased from 0.49 (IQR, 0.39-0.57) to 0.55 (IQR, 0.49-0.63). The endoscopists increased from 26,203 to 39,638 (1.51-fold), but their average workload even expanded. Overall volume increased from 28.8 million to 44.5 million (1.55-fold), and most types of endoscopic procedures recorded a high growth rate. Contrastingly, the specific utilization rates were low and paled in comparison with some developed countries. Nationwide, regional utilization rates showed a significant correlation with GDP per capita (P <0.001). Overall qualities of digestive endoscopy were excellent, but certain results of quality indicators posed a huge challenge, such as the detection rates of adenoma and early cancers. Conclusions Impressive progress has been made in digestive endoscopy with rapidly expanding economy in China. However, primary healthcare, utilization rates, and income-related inequality of regional services were needed to be improved to promote public health better.

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Section: Introductionmentioning

confidence: 99%

Development and status quo of digestive endoscopy in China: An analysis based on the national census in 2013 and 2020

Jiao,

Cheng,

Gao

et al. 2024

Journal of Translational Internal Medicine

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“…In developed countries, colonoscopy behaves better in service accessibility and quality ( 7 – 10 ), which largely benefits from their adequate resource and rigorous quality improvement ( 11 , 12 ). But in developing countries, the capacity of the colonoscopy and its role in screening for CRC is still prominently limited, such as Brazil ( 13 ), Indonesia ( 14 ), and some African countries ( 15 – 17 ). The insufficient capacity to perform colonoscopy including infrastructure, utilization, and quality could be adverse to clinical practice and limit the efficacy of endoscopic screening for the reduction of the CRC burden ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

Development, quality, and influencing factors of colonoscopy in China: results from the national census in 2013 and 2020

Jiao,

Cheng,

Gao

et al. 2023

Front. Oncol.

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Background and AimWith the increasing burden of colorectal cancer (CRC), the practice of colonoscopy is gaining attention worldwide. However, it exhibits distinct trends between developing and developed countries. This study aims to explore its development and identify influencing factors in China.MethodsThe Chinese Digestive Endoscopy Censuses were conducted twice in mainland China under the supervision of health authorities. Information regarding the practice of colonoscopy was collected through a structured online questionnaire. The authenticity of the data was evaluated through logical tests, and a random selection of endoscopic reports underwent manual validation by Quality Control Centers. Potential factors associated with colonoscopy were analyzed using real-world information.ResultsFrom 2012 to 2019, the number of hospitals that performed colonoscopy increased from 3,210 to 6,325 (1.97-fold), and the volume increased from 5.83 to 12.92 million (2.21-fold). The utilization rate rose from 436.0 to 914.8 per 100,000 inhabitants (2.10-fold). However, there was an exacerbation of regional inequality in the adequacy of colonoscopy. Regions with higher incidence of CRC, higher gross domestic product per capita, more average numbers of endoscopists and tertiary hospitals tended to provide more accessible colonoscopy (P<0.001). Nationwide, the cecal intubation rate improved from 83.9% to 94.4% and the unadjusted adenoma detection rate (ADR) improved from 16.3% to 18.1%. Overall, hospital grading, educational background of endoscopists, economic income, and colonoscopy volume were observed as the significantly positive factors affecting ADR (P<0.05), but not the incidence of CRC or the number of endoscopists.ConclusionsTremendous progress in colonoscopy has been made in China, but some issues needed timely reflection. Our findings provide timely evidence for better colonoscopy strategies and measures, such as quality control and medical education of endoscopists.

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Digestive endoscopy in Tanzania

Cited by 2 publications

References 14 publications

Development and status quo of digestive endoscopy in China: An analysis based on the national census in 2013 and 2020

Development and status quo of digestive endoscopy in China: An analysis based on the national census in 2013 and 2020

Development, quality, and influencing factors of colonoscopy in China: results from the national census in 2013 and 2020

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