Resident Physician Allegheny Health Network Pittsburgh, Pennsylvania
Shifa Umar, MD, Rita Cole, MBA, BS, Katie Farah, MD; Allegheny Health Network, Pittsburgh, PA
Introduction: Ambulatory endoscopy units are increasingly common across the country and have made endoscopy more accessible and scheduling more convenient for patients. We aim to describe variation in patient population and indication of colonoscopy across two high volume endoscopy centers located in inner-city and suburbs, respectively. Methods: Retrospective review of colonoscopy data from GIQuIC between October 2018-December 2019 at two outpatient endoscopy centers located in inner-city and suburban neighborhoods within the same Network was performed. We reviewed and collected data on demographics, race and indication of colonoscopy. Results: 2,842 colonoscopies were performed at suburban outpatient endoscopy center (SOE) vs. 3,728 at inner-city outpatient endoscopy center (IOE). Common indications for colonoscopy are described in Table 1, which shows that IOE does more colonoscopies for the indication of IBD than the SOE. The IOE also performs colonoscopies on more patients < =35 years of age compared to the SOE. With the diagnosis of IBD occurring between ages 15-35, this coincides with the IOE performing more colonoscopies on younger patients (12.7%) compared to the SOE (8.2%). Figure 1 describes variation by gender and race. Higher number of African American (AA) patients underwent colonoscopy at the IOE due to its location in a neighborhood with more AA as shown in Figure 2. This also corresponds with US Census data from the ACS (Figure 3). Discussion: Significant variations exist in patient population at outpatient endoscopy centers based on location and neighborhood. Prior studies have shown AA have low colon cancer screening rates and our data suggests AA patients are more likely to schedule a colonoscopy at a location within their neighborhood and/or close to home. By offering more access to screening colonoscopy in a low socio-economic neighborhood with increased percentage of AA and other minority populations, we can increase colon cancer screening rates within these populations. We will also plan to incorporate educational forums in relation to IBD for our younger population who reside in the city where it is also university-based.
Disclosures: Shifa Umar indicated no relevant financial relationships. Rita Cole indicated no relevant financial relationships. Katie Farah indicated no relevant financial relationships.