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[Flexible sigmoidoscopy in Denmark. A questionnaire].

M Rasmussen1, O Kronborg

  • 1Odense Universitetshospital, kirurgisk afdeling A. mo.rasmussen@winsloew.ou.dk

Ugeskrift for Laeger
|March 7, 2001
PubMed
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Flexible sigmoidoscopy use in Denmark in 1997 was limited, with 13,181 procedures performed. A significant expansion is recommended to meet diagnostic guidelines and replace rigid proctoscopy.

Area of Science:

  • Gastroenterology
  • Medical Technology Assessment

Background:

  • Flexible sigmoidoscopy is recommended by the Danish National Board of Health.
  • The current service level in Denmark requires assessment.

Purpose of the Study:

  • To evaluate the utilization of flexible sigmoidoscopy in Denmark during 1997.
  • To compare current practice with national health recommendations.

Main Methods:

  • A nationwide questionnaire survey was distributed to all hospitals.
  • The survey targeted specialists in surgery and gastroenterology.

Main Results:

  • A high response rate of 96% was achieved.
  • 13,181 flexible sigmoidoscopies were performed.
  • The number of procedures was insufficient for all patients with colonic symptoms; two severe complications were noted.

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Conclusions:

  • The current flexible sigmoidoscopy service in Denmark is inadequate.
  • Substantial service expansion is necessary to align with diagnostic strategy recommendations.
  • Replacement of rigid proctoscopy with flexible sigmoidoscopy requires increased capacity.