title: Current application situation of gastrointestinal endoscopy in China.
abstract: OBJECTIVE
  To study the current application situation of gastrointestinal (GI) endoscopy in mainland China.
  
  
  METHODS
  From 12 August, 2011 to 15 February, 2012, draft questionnaires were sent by e-mail to 289 hospital-based GI endoscopy units, including units with three levels (provincial, prefecture and county level) in mainland China. All the surveyed GI endoscopy units were state-owned and hospital-based. Proportions were compared using χ² tests. Comparisons between groups were performed using the Mann-Whitney U test. A probability of P < 0.05 was considered to represent a statistically significant difference.
  
  
  RESULTS
  Based on satisfactory replies, 169/279 (60.6%) of units were enrolled in the survey, which covered 28 provinces (90.3%, 28/31) in mainland China. Compared with published survey data, the number of GI endoscopes per unit has increased by nearly three times (from 2.9 to 9.3) in the past decade. About 33 of 169 (19.5%) endoscopy units possessed an X-ray machine, which was mainly owned by provincial endoscopy units (43.2%, 19/44). Video capsule endoscopes, which were almost unavailable ten years ago, were owned by 20.7% (35/169) of GI endoscopy units. Endoscopic submucosal dissection could be performed by 36.4% (19/44) of the provincial units, which was significantly higher than the prefecture level (9.9%, P < 0.01) and county level (0.0%, P < 0.01) units, respectively.
  
  
  CONCLUSIONS
  Rapid development in GI endoscopy has been made in mainland China, and major diagnostic endoscopes and therapeutic endoscopy procedures are predominantly used in large endoscopy units.
authors.affiliation: Department of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Xiu-Li
authors.initials: XL
authors.lastname: Zhang
authors.forename: Zhong-Sheng
authors.initials: ZS
authors.lastname: Lu
authors.forename: Ping
authors.initials: P
authors.lastname: Tang
authors.forename: Jin-Yan
authors.initials: JY
authors.lastname: Kong
authors.forename: Yun-Sheng
authors.initials: YS
authors.lastname: Yang
mesh_terms: D053705:Capsule Endoscopes / Q000639:trends; D053704:Capsule Endoscopy / Q000639:trends; D016009:Chi-Square Distribution; D002681:China; D004059:Diffusion of Innovation; D020776:Endoscopes, Gastrointestinal / Q000639:trends; D016099:Endoscopy, Gastrointestinal / Q000639:trends*; D019538:Health Care Surveys; D006801:Humans; D010818:Practice Patterns, Physicians' / Q000639:trends*; D011795:Surveys and Questionnaires; D013997:Time Factors
keywords: Application situation; Endoscopic submucosal dissection; Gastrointestinal endoscopy; Video capsule endoscopy