A cross-sectional study on the occupational status and concept of colorectal surgeons in China

GUO Peng; LIU Fan; WANG Chao

doi:10.19538/j.cjps.issn1005-2208.2017.01.20

Abstract：Objective To assess the occupational status and concept of colorectal surgeons in China. Methods Thiswas a cross-sectional study using convenience sampling to collect data through questionnaire among colorectal surgeons in China. Results A total of 660 effective questionnaire was received,(1) general status: 95.3% were male, 91.2% were more than 30 years old, 26.5% had a M.D. degree, 76.7% worked in a tertiary hospital and 72.7% had pursued an occupation on colorectal surgery more than 5 years. (2) occupational status:the median of total inpatients of department were 52 and the median of colorectal inpatients of department were 30;the median cases of total surgery per year of department were 900 and the median cases of colorectal surgery per year of department were 200;the median of total surgeons of department were 8 and the median of colorectal surgeons of department were 6;the median cases of total surgery per year of participant was 250 and the median cases of colorectal surgery per year of participant was 80; the median cases of colon surgery per year of participant was 50 and 62.5% were open surgery, 31.3% were laparoscopic surgery; the median cases of rectal surgery per year of participant was 50 and 50.0% were open surgery, 47.5% were laparoscopic surgery. (3) occupational concept:Out of 660 participants, 76.6%agreed colorectal surgeons should master endoscopy, 26.3% mastered endoscopy, only 11.4% mastered EMR/ESD. For early colorectal cancer, advanced colorectal, resectable liver metastasis of colorectal cancer, unresectable liver metastasis of colorectal cancer, there were 19.7%、33.8%、46.2%、59.1% participants agreed multidiciplinaryteam had decision-making power in treatment. Conclusion Colorectal surgeons of China still need to strengthen specialization. Some new technology and concept such as minimally invasive technique, endoscopic technique, multidiciplinaryteam still need to be extension.