Evidence map›Paper›PMID 34970428›Full record

ArticleFrontline gastroenterology2022

Bowel cancer screening workforce survey: developing the endoscopy workforce for 2025 and beyond.

Srivathsan Ravindran, Jane Munday, Andrew M Veitch, Raphael Broughton, Siwan Thomas-Gibson, Ian D Penman, Alistair McKinlay, Nicola S Fearnhead, Mark Coleman, Robert Logan

Abstract readComment
In one paragraph

Article in Frontline gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Methods and Tools Used to Estimate the Shortages of Medical Staff in European Countries-Scoping Review.International journal of environmental research and public health · 2023
    Article
  3. Article
  4. Article
  5. Colonoscopy in the post-COVID-19 era.Frontline gastroenterology · 2022
    Article
  6. National census of UK endoscopy services 2021.Frontline gastroenterology · 2022
    Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Srivathsan RavindranJoint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, UK.ORCID 0000-0002-1162-9555
Jane MundayLateral Knowledge, Chester, UK.
Andrew M VeitchGastroenterology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.
Raphael BroughtonJoint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, UK.
Siwan Thomas-GibsonWolfson Endoscopy Unit, St Mark's Hospital and Academic Institute, Harrow, London, UK.ORCID 0000-0001-8922-6249
Ian D PenmanCentre for Liver and Digestive Disorders, Royal Infirmary of Edinburgh, Edinburgh, UK.ORCID 0000-0003-0785-6744
Alistair McKinlayBritish Society of Gastroenterology, London, UK.
Nicola S FearnheadColorectal Surgery, Addenbrooke's Hospital, Cambridge, Cambridgeshire, UK.
Mark ColemanJoint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, UK.
Robert LoganGastroenterology, King's College Hospital NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe demand for bowel cancer screening (BCS) is expected to increase significantly within the next decade. Little is known about the intentions of the workforce required to meet this demand. The Joint Advisory Group on Gastrointestinal Endoscopy (JAG), the British Society of Gastroenterology (BSG) and Association of Coloproctology of Great Britain and Ireland (ACPGBI) developed the first BCS workforce survey. The aim was to assess endoscopist career intentions to aid in future workforce planning to meet the anticipated increase in BCS colonoscopy.

methodsA survey was developed by JAG, BSG and ACPGBI and disseminated to consultant, clinical and trainee endoscopists between February and April 2020. Descriptive and comparative analyses were undertaken, supported with BCS data.

resultsThere were 578 respondents. Screening consultants have a median of one programmed activity (PA) per week for screening, accounting for 40% of their current endoscopy workload. 38% of current screening consultants are considering giving up colonoscopy in the next 2-5 years. Retirement (58%) and pension issues (23%) are the principle reasons for this. Consultants would increase their screening PAs by 70% if able to do so. The top three activities that endoscopists would relinquish to further support screening were outpatient clinics, acute medical/surgical on call and ward cover. An extra 155 colonoscopists would be needed to fulfil increased demand and planned retirement at current PAs.

conclusionThis survey has identified a serious potential shortfall in screening colonoscopists in the next 5-10 years due to an ageing workforce and job plan pressures of aspirant BCS colonoscopists. We have outlined potential mitigations including reviewing job plans, improving workforce resources and supporting accreditation and training.

Indexed as

endoscopy

Identifiers

PMID34970428
PMCPMC8666856

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.