TY - JOUR
T1 - Federal funding of endoscopic research in the United States
T2 - 1972-2002
AU - Wallace, Michael B.
AU - Hurlstone, Paul
N1 - Funding Information:
Funding for endoscopic research provides critical resources for endoscopic investigators seeking to demonstrate the effectiveness (or lack thereof) of endoscopic procedures. The perceived lack of federal funding for endoscopic research is one of the major barriers to the evaluation of the benefits and risks of endoscopy. 1,2 The American Society for Gastrointestinal Endoscopy (ASGE), as well as other professional organizations concerned with gastroenterology, have increasingly pressured the federal government, specifically the National Institutes of Health (NIH), to provide more funding for endoscopically oriented research. 3 A recent NIH State-of-the-Science conference on ERCP emphasized the need for adequately funded, rigorously conducted clinical trials in endoscopy. 4 This conference led to the first endoscopic-specific program announcement funded by the NIH entitled Endoscopic Clinical Research in Pancreatic and Biliary Diseases (PAR-03-033; released November 2002). Despite these recent developments, there is a widespread perception that NIH funding for endoscopic research remains inadequate. There is simultaneously a demand for well-designed and completed endoscopic clinical trials.
Funding Information:
Funded grants were identified using the Computerized Retrieval of Information on Scientific Projects (CRISP) and the NIH database of funded grants from 1972 through 2002. This database includes all NIH-funded protocols during this time period and contains information on the title, abstract, specific aims, funding agency (e.g., National Cancer Institute [NCI], National Institute of Diabetes and Digestive and Kidney Diseases [NIDDK]), name and academic rank of principal investigator, and year(s) of funding. It does not include the amount of funds provided or the specific protocols. However, the amount of funding in United States dollars was available for the period of 2000 to 2002. These data together with Medicare reimbursement data for endoscopic and cardiac catheterization procedures for 2001 were obtained through the ASGE Washington representative (Marc Associates, Washington, DC) from the budget offices of, respectively, the NIH and the Department of Health and Human Services. These data were extracted from the Part B Extract and Summary System (Bess) Data, Centers for Medicare and Medicaid Services, Center for Medicare Management, Division of Data Systems (July 25, 2002).
PY - 2003/12
Y1 - 2003/12
N2 - Background: Funding for research is critical to the determination of appropriate applications for endoscopy in clinical practice. We sought to evaluate trends in funding provided by the National Institutes of Health (NIH) for endoscopic research from 1972 through 2002. Methods: The NIH database of funded biomedical projects for the years 1972 through 2002 was searched using the Computerized Retrieval of Information on Scientific Projects (CRISP) and the keyword "endoscopy." Grants were included if a start date, title, and/or specific aims were available. Grants were classified as primary endoscopy if the title or specific aim had an endoscopy focus. Endoscopy funding was compared with other nonendoscopic funding for the same period. Results: From 1972 through 2002, 133 endoscopy-related grant applications were funded and 98 met inclusion criteria. Funding for endoscopic research increased from one grant (1972-1982) to 4 grants (1983-1992) to 93 grants (1993-2002), a 2325% increase for the 1993-2002 decade alone. Despite this increase, there were substantially fewer funded endoscopy-related applications compared with liver disease (61,804 grants), Helicobacter pylori (866 grants), and cardiac catheterization (1547 grants). Among endoscopic grants, colorectal cancer projects accounted for the largest portion (34%), followed by advanced optical technologies (18%) and Barrett's esophagus (17%). Conclusions: Funding for endoscopic research by the NIH has increased dramatically over the past 30 years, but it still lags behind funding in other fields. Projects focused on colorectal cancer, Barrett's esophagus, and optical technologies were most common among those funded, and the National Cancer Institute was the primary source of funding.
AB - Background: Funding for research is critical to the determination of appropriate applications for endoscopy in clinical practice. We sought to evaluate trends in funding provided by the National Institutes of Health (NIH) for endoscopic research from 1972 through 2002. Methods: The NIH database of funded biomedical projects for the years 1972 through 2002 was searched using the Computerized Retrieval of Information on Scientific Projects (CRISP) and the keyword "endoscopy." Grants were included if a start date, title, and/or specific aims were available. Grants were classified as primary endoscopy if the title or specific aim had an endoscopy focus. Endoscopy funding was compared with other nonendoscopic funding for the same period. Results: From 1972 through 2002, 133 endoscopy-related grant applications were funded and 98 met inclusion criteria. Funding for endoscopic research increased from one grant (1972-1982) to 4 grants (1983-1992) to 93 grants (1993-2002), a 2325% increase for the 1993-2002 decade alone. Despite this increase, there were substantially fewer funded endoscopy-related applications compared with liver disease (61,804 grants), Helicobacter pylori (866 grants), and cardiac catheterization (1547 grants). Among endoscopic grants, colorectal cancer projects accounted for the largest portion (34%), followed by advanced optical technologies (18%) and Barrett's esophagus (17%). Conclusions: Funding for endoscopic research by the NIH has increased dramatically over the past 30 years, but it still lags behind funding in other fields. Projects focused on colorectal cancer, Barrett's esophagus, and optical technologies were most common among those funded, and the National Cancer Institute was the primary source of funding.
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U2 - 10.1016/S0016-5107(03)02353-8
DO - 10.1016/S0016-5107(03)02353-8
M3 - Article
C2 - 14652548
AN - SCOPUS:0348044547
SN - 0016-5107
VL - 58
SP - 831
EP - 835
JO - Gastrointestinal endoscopy
JF - Gastrointestinal endoscopy
IS - 6
ER -