Impact of the aging population on the demand for colorectal procedures

David A. Etzioni, Robert W. Beart, Robert D. Madoff, Glenn T. Ault

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

PURPOSE: With the baby boomers entering retirement age, the United States population is seeing a dramatic increase in the number of elderly individuals. We hypothesized that as a result, during the next 20 years, the demand for colorectal procedures will grow rapidly. METHODS: We used the 2005 Nationwide Inpatient Sample and the Florida State Ambulatory Surgery Database as source data. From these two data sources, we identified commonly performed inpatient and outpatient colorectal procedures, as well as associated diagnoses. These data were combined with census projections to generate projected volumes for the selected procedures and diagnoses. RESULTS: Between 2005 and 2025, the United States population is expected to grow by 18 percent, with disproportionate growth in individuals aged 65 to 74 years (92 percent) and those aged 75+ years (54 percent). We forecast that growth in outpatient procedures and inpatient procedures will be 21.3 percent and 40.6 percent, respectively. Inpatient operations for colon cancer and rectal cancer show the greatest growth. CONCLUSIONS: During the next two decades, demographic changes in the United States population will lead to a marked increase in the use of colorectal surgical services, especially inpatient and oncologic procedures. The ability of the surgical workforce to meet this projected growth in demand should be assessed.

Original languageEnglish (US)
Pages (from-to)583-590
Number of pages8
JournalDiseases of the Colon and Rectum
Volume52
Issue number4
DOIs
StatePublished - Apr 2009
Externally publishedYes

Fingerprint

Inpatients
Population
Information Storage and Retrieval
Growth
Outpatients
Retirement
Censuses
Rectal Neoplasms
Ambulatory Surgical Procedures
Colonic Neoplasms
Demography
Databases

Keywords

  • Colorectal cancer/economics
  • Colorectal surgery
  • Economics
  • Physician supply
  • Surgery
  • Workforce

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Impact of the aging population on the demand for colorectal procedures. / Etzioni, David A.; Beart, Robert W.; Madoff, Robert D.; Ault, Glenn T.

In: Diseases of the Colon and Rectum, Vol. 52, No. 4, 04.2009, p. 583-590.

Research output: Contribution to journalArticle

Etzioni, David A. ; Beart, Robert W. ; Madoff, Robert D. ; Ault, Glenn T. / Impact of the aging population on the demand for colorectal procedures. In: Diseases of the Colon and Rectum. 2009 ; Vol. 52, No. 4. pp. 583-590.
@article{bfd8d3ad5fbb47d8b48f3b5a804ca7cf,
title = "Impact of the aging population on the demand for colorectal procedures",
abstract = "PURPOSE: With the baby boomers entering retirement age, the United States population is seeing a dramatic increase in the number of elderly individuals. We hypothesized that as a result, during the next 20 years, the demand for colorectal procedures will grow rapidly. METHODS: We used the 2005 Nationwide Inpatient Sample and the Florida State Ambulatory Surgery Database as source data. From these two data sources, we identified commonly performed inpatient and outpatient colorectal procedures, as well as associated diagnoses. These data were combined with census projections to generate projected volumes for the selected procedures and diagnoses. RESULTS: Between 2005 and 2025, the United States population is expected to grow by 18 percent, with disproportionate growth in individuals aged 65 to 74 years (92 percent) and those aged 75+ years (54 percent). We forecast that growth in outpatient procedures and inpatient procedures will be 21.3 percent and 40.6 percent, respectively. Inpatient operations for colon cancer and rectal cancer show the greatest growth. CONCLUSIONS: During the next two decades, demographic changes in the United States population will lead to a marked increase in the use of colorectal surgical services, especially inpatient and oncologic procedures. The ability of the surgical workforce to meet this projected growth in demand should be assessed.",
keywords = "Colorectal cancer/economics, Colorectal surgery, Economics, Physician supply, Surgery, Workforce",
author = "Etzioni, {David A.} and Beart, {Robert W.} and Madoff, {Robert D.} and Ault, {Glenn T.}",
year = "2009",
month = "4",
doi = "10.1007/DCR.0b013e3181a1d183",
language = "English (US)",
volume = "52",
pages = "583--590",
journal = "Diseases of the Colon and Rectum",
issn = "0012-3706",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Impact of the aging population on the demand for colorectal procedures

AU - Etzioni, David A.

AU - Beart, Robert W.

AU - Madoff, Robert D.

AU - Ault, Glenn T.

PY - 2009/4

Y1 - 2009/4

N2 - PURPOSE: With the baby boomers entering retirement age, the United States population is seeing a dramatic increase in the number of elderly individuals. We hypothesized that as a result, during the next 20 years, the demand for colorectal procedures will grow rapidly. METHODS: We used the 2005 Nationwide Inpatient Sample and the Florida State Ambulatory Surgery Database as source data. From these two data sources, we identified commonly performed inpatient and outpatient colorectal procedures, as well as associated diagnoses. These data were combined with census projections to generate projected volumes for the selected procedures and diagnoses. RESULTS: Between 2005 and 2025, the United States population is expected to grow by 18 percent, with disproportionate growth in individuals aged 65 to 74 years (92 percent) and those aged 75+ years (54 percent). We forecast that growth in outpatient procedures and inpatient procedures will be 21.3 percent and 40.6 percent, respectively. Inpatient operations for colon cancer and rectal cancer show the greatest growth. CONCLUSIONS: During the next two decades, demographic changes in the United States population will lead to a marked increase in the use of colorectal surgical services, especially inpatient and oncologic procedures. The ability of the surgical workforce to meet this projected growth in demand should be assessed.

AB - PURPOSE: With the baby boomers entering retirement age, the United States population is seeing a dramatic increase in the number of elderly individuals. We hypothesized that as a result, during the next 20 years, the demand for colorectal procedures will grow rapidly. METHODS: We used the 2005 Nationwide Inpatient Sample and the Florida State Ambulatory Surgery Database as source data. From these two data sources, we identified commonly performed inpatient and outpatient colorectal procedures, as well as associated diagnoses. These data were combined with census projections to generate projected volumes for the selected procedures and diagnoses. RESULTS: Between 2005 and 2025, the United States population is expected to grow by 18 percent, with disproportionate growth in individuals aged 65 to 74 years (92 percent) and those aged 75+ years (54 percent). We forecast that growth in outpatient procedures and inpatient procedures will be 21.3 percent and 40.6 percent, respectively. Inpatient operations for colon cancer and rectal cancer show the greatest growth. CONCLUSIONS: During the next two decades, demographic changes in the United States population will lead to a marked increase in the use of colorectal surgical services, especially inpatient and oncologic procedures. The ability of the surgical workforce to meet this projected growth in demand should be assessed.

KW - Colorectal cancer/economics

KW - Colorectal surgery

KW - Economics

KW - Physician supply

KW - Surgery

KW - Workforce

UR - http://www.scopus.com/inward/record.url?scp=66849087171&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=66849087171&partnerID=8YFLogxK

U2 - 10.1007/DCR.0b013e3181a1d183

DO - 10.1007/DCR.0b013e3181a1d183

M3 - Article

C2 - 19404056

AN - SCOPUS:66849087171

VL - 52

SP - 583

EP - 590

JO - Diseases of the Colon and Rectum

JF - Diseases of the Colon and Rectum

SN - 0012-3706

IS - 4

ER -