ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2018
Who Performs Colonoscopy? Workforce Trends Over Space and Time.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- Trends in and factors associated with family physician-performed screening colonoscopies in the United States: 2016-2021.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Safety considerations with the current ambulatory trends: more complicated procedures and more complicated patients.Korean journal of anesthesiology · 2023Article
- Article
- Trends in spatial access to colonoscopy in South Carolina, 2000-2014.Spatial and spatio-temporal epidemiology · 2021Article
- Spatial accessibility to colonoscopy and its role in predicting late-stage colorectal cancer.Health services research · 2021Article
- Effects of the Affordable Care Act on the Receipt of Colonoscopies among the Insured Elderly.International journal of environmental research and public health · 2020Article
- Disparities in Utilization of Medical Specialists for Colonoscopy.Health equity · 2019Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
purposeWith the increased availability of colonoscopy to average risk persons due to insurance coverage benefit changes, we sought to identify changes in the colonoscopy workforce. We used outpatient discharge records from South Carolina between 2001 and 2010 to examine shifts over time and in urban versus rural areas in the types of medical providers who perform colonoscopy, and the practice settings in which they occur, and to explore variation in colonoscopy volume across facility and provider types.
methodsUsing an all-payer outpatient discharge records database from South Carolina, we conducted a retrospective analysis of all colonoscopy procedures performed between 2001 and 2010.
findingsWe identified a major shift in the type of facilities performing colonoscopy in South Carolina since 2001, with substantial gains in ambulatory surgery settings (2001: 15, 2010: 34, +127%) versus hospitals (2001: 58, 2010: 59, +2%), particularly in urban areas (2001: 12, 2010: 27, +125%). The number of internists (2001: 46, 2010: 76) and family physicians (2001: 34, 2010: 106) performing colonoscopies also increased (+65% and +212%, respectively), while their annual procedures volumes stayed fairly constant. Significant variation in annual colonoscopy volume was observed across medical specialties (P < .001), with nongastroenterologists having lower volumes versus gastroenterologists and colon and rectal surgeons.
conclusionsThere have been substantial changes over time in the number of facilities and physicians performing colonoscopy in South Carolina since 2001, particularly in urban counties. Findings suggest nongastroenterologists are meeting a need for colonoscopies in rural areas.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.