Geographic variation in the provider of screening colonoscopy in Canada: a population-based cohort study.

ABSTRACT: BACKGROUND:Screening colonoscopy for the detection of colorectal carcinoma is provided by several specialties. Few studies have assessed geographic variation in the delivery of this care. Our objective was to investigate how geographic and socioeconomic factors affect who provides screening colonoscopy in Canada. METHODS:This was a population-based cohort of all screening colonoscopy procedures performed at publicly funded Canadian health care facilities (excluding those in Quebec) between April 2008 and March 2015. The main outcome of interest was the proportion of colonoscopy procedures performed by surgeons versus gastroenterologists at the neighbourhood level. Predictors of interest included socioeconomic and geographic variables. We used spatial analysis to evaluate significant cluste

SUBMITTER: Doumouras AG 

PROVIDER: S-EPMC5878955 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature