Background and Aims
Methods
Results
Conclusions
Abbreviations:
CSDE (Chinese Society of Digestive Endoscopy), GDP (gross domestic product), IQR (interquartile range)Methods
Conduct of the survey
Contents of the questionnaire
Data collection and analysis
National Bureau of Statistics of China. China statistical yearbook—2013. Available at: http://www.stats.gov.cn/tjsj/ndsj/2013/indexeh.htm. Accessed February 12, 2015.
Asian Institute of Gastroenterology. The introduction of medical gastroenterology. Available at: http://aigindia.net/specialitiesmedical.html. Accessed June 12, 2015.
Statistical analysis
Results
General status and ERCP infrastructure of hospitals
2006 (n = 470) | 2012 (n = 1156) | |
---|---|---|
Hospital grading | ||
Tertiary referral hospitals | 75.5 (339) | 76.5 (884) |
Secondary referral hospitals | 24.5 (110) | 22.7 (262) |
Ungraded hospitals | 0.0 (0) | 0.9 (10) |
Hospital ownership | ||
Government-administered hospitals | 47.7 (214) | 52.2 (603) |
University-affiliated hospitals | 47.0 (211) | 35.5 (410) |
Military hospitals | 4.0 (18) | 6.6 (76) |
Private or foreign-invested hospitals | 1.3 (6) | 5.8 (67) |
Department performing ERCP | ||
Department of Gastroenterology | 68.6 (308) | 68.0 (786) |
Department of Endoscopy | 16.3 (73) | 26.9 (311) |
Department of General Surgery | 6.7 (30) | 1.5 (17) |
Other departments | 8.5 (38) | 3.6 (42) |
Owning established endoscopy unit | 76.0 (341) | 96.9 (1120) |
Owning x-ray fluoroscopes exclusive for ERCP | 15.6 (70) | 32.2 (372) |
ERCP volume and its distribution




Indication and adverse events

Adverse event | Overall (%) | Hospitals with volume ≥ 500/y (n = 65) | Hospitals with volume <500/y (n = 1091) | P value | Hospitals that started ERCP before or during 2006 (n = 470) | Hospitals that started ERCP after 2006 (n = 686) | P value |
---|---|---|---|---|---|---|---|
Pancreatitis | 4.33 | 4.65 | 4.18 | .26 | 4.23 | 4.73 | .35 |
Bleeding | .52 | .38 | .59 | .08 | .51 | .59 | .12 |
Perforation | .18 | .23 | .16 | .09 | .18 | .16 | .30 |
Cholangitis | .66 | .69 | .64 | .54 | .59 | .64 | .55 |
Total | 5.69 | 5.79 | 5.64 | .43 | 5.51 | 5.64 | .40 |
Discussion
Asian Institute of Gastroenterology. The introduction of medical gastroenterology. Available at: http://aigindia.net/specialitiesmedical.html. Accessed June 12, 2015.
National Bureau of Statistics of China. China statistical yearbook—2013. Available at: http://www.stats.gov.cn/tjsj/ndsj/2013/indexeh.htm. Accessed February 12, 2015.
Xinhua News Agency. China unveils health-care reform guidelines. Available at: http://www.china.org.cn/government/central_government/2009-04/06/content_17559519.htm. Accessed June 12, 2015.
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