Home > Review Articles > Computed tomographic colonography (CTC): a retrospective analysis of a single site experience and a review of the literature on the status of CTC

Computed tomographic colonography (CTC): a retrospective analysis of a single site experience and a review of the literature on the status of CTC

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Authors:
Summary:

Data were retrospectively analysed from 302 patients who underwent CT colonography (CTC) between August 2007 and August 2010 at Greenlane Hospital, the outpatient hospital for Auckland DHB. Twelve patients (4%) were found to have cancer, 24 (8%) had polyps >5 mm, and 111 (37%) had diverticular disease. 21 patients (7%) were referred for optical colonoscopy following their CTC, and 34 patients (11%) had follow-up recommendations resulting from extracolonic findings, including 24 recommendations for further imaging. The majority of the study population was New Zealand European (59%), Asian (17%), or Other Europeans (10%); only 5.1% were Māori and 4.1% Pacific Islander. The study authors recommend that Māori and Pacific Islanders be encouraged by primary health practitioners to present for bowel examination

Comment:
Unless the authors can provide evidence of higher ‘did not attend’ rates for Māori and Pacifica peoples, I’d argue that it’s the clinicians who need the encouragement to refer Māori and Pacifica peoples to CTC, rather than encouraging patients to present.
Reference: N Z Med J. 2012;125(1356):60-7.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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