Profile of Patients Undergoing Colonoscopy at the San José del Carmen Regional Hospital in Copiapó, Chile, 2022–2024
DOI:
https://doi.org/10.22517/25395203.25860Keywords:
Colonoscopy, Adenoma, Epidemiology, Chile, Colorectal NeoplasmsAbstract
Objectives: To describe the cohort of patients undergoing colonoscopies performed between 2022 and 2024 at the Regional Hospital of Copiapó, with an emphasis on colorectal cancer.
Materials and Methods: A quantitative, cross-sectional, and descriptive study was conducted using data obtained from the databases of the Statistics Department and the Pathology Department of the Regional Hospital of Copiapó (HRC).
Results: Between 2022 and 2024, a total of 1,136 complete colonoscopies were scheduled; 1,114 were completed, 18 were canceled, and 4 were incomplete, with a steady annual increase in the total number of procedures performed. The main reason for cancellation was patient no-show. Women and beneficiaries of the National Health Fund (FONASA) predominated, and the most frequent age groups were 60–69 and 70–79 years. Most indications originated from the Diagnostic and Treatment Center (CDT) and the gastroenterology specialty. A total of 644 biopsies were obtained, a number that also showed a progressive increase. Histological findings were mainly distributed between adenomas and colitis, which together accounted for ≥60% of annual results, while cancer remained ≤10%, decreasing from 9.9% in 2022 to 5.4% in 2024.
Conclusions: The study showed a sustained increase in colonoscopies and biopsies performed at the Copiapó Hospital between 2022 and 2024. The most frequent diagnoses were adenomas and colitis, with a progressive increase in adenomas, suggesting improved early detection. These findings highlight the need to strengthen screening strategies and timely access to care, providing key inputs for regional healthcare planning.
Downloads
References
World Health Organization. Colorectal cancer [Internet]. Geneva: World Health Organization; 2023 Jul 11 [cited 2025 Jun 14]. Available from: https://www.who.int/news-room/fact-sheets/detail/colorectal-cancer
Duan B, Zhao Y, Bai J, et al. Colorectal cancer: an overview. In: Morgado-Diaz JA, editor. Gastrointestinal cancers [Internet]. Brisbane (AU): Exon Publications; 2022 Sep 30 [cited 2025 Jun 14]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK586003/
Ríos JA, Barake MF, Arce MJ, López-Köstner F, Labbe TP, Villena J, et al. The present situation of colorectal cancer in
Chile. Rev Med Chile. 2020;148(6):858-867. doi:10.4067/S0034-98872020000600858
Shin AE, Giancotti FG, Rustgi AK. Metastatic colorectal cancer: mechanisms and emerging therapeutics. Trends Pharmacol Sci. 2023;44(4):222-236. doi:10.1016/j.tips.2023.01.003
Ministerio de Salud de Chile. Estrategia nacional de salud para el cumplimiento de los objetivos sanitarios 2021–
[Internet]. Santiago: MINSAL; 2021 [cited 2025 Jun 14]. Available from: https://dipol.minsal.cl/wp-content/
uploads/2021/10/Estrategia-Nacional-de-Salud-2021-2030.pdf
Salgado M, Mora ML, Catrileo A, et al. Cambio climático y salud en Chile: desafíos para la salud pública desde una perspectiva ecosistémica. Rev Chil Nutr. 2020;47(1):84-90. Available from: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-75182020000100084
Hospital Regional San José del Carmen de Copiapó. Reseña institucional [Internet]. Copiapó: Hospital Regional de Copiapó;[cited 2025 Jun 24]. Available from: https://hospitalcopiapo.cl/resena/
Ministerio de Salud de Chile. Guía clínica de servicios terminológicos [Internet]. Santiago: MINSAL; 2021 [cited 2025 Jun24]. Available from: https://interconsulta.minsal.cl/img/guias/clinica.pdf
Ehrsam J, Gaudet-Blavignac C, Mattei M, et al. Semantics in action: a guide for representing clinical data elements with SNOMED CT. J Biomed Semantics. 2025;16:7. doi:10.1186/s13326-025-00326-5
Servicio de Salud Atacama. Programa odontológico cuenta con inversión y proyecciones para próximos periodos [Internet]. Atacama: Servicio de Salud Atacama; [cited 2025 Jun 24]. Available from: https://www.saludatacama.cl/?p=11380
Abu-Freha N, Guterman R, Elhayany R, et al. Sex differences in colonoscopy indications and findings: results from a large multicenter database. J Womens Health (Larchmt). 2024;33(11):1442-1448. doi:10.1089/jwh.2024.0301
Andersson KL, Ha JB, Abraczinskas DR, Campbell EJ, Richter JM. Gender differences in colonoscopy: implications for clinical practice and female gastroenterologists. Dig Dis Sci. 2022;67(3):810-816. doi:10.1007/s10620-021-07079-y
Consensus. Which relationship exists between polyps and color? [Internet]. Consensus; [cited 2025 Jun 24]. Available from: https://consensus.app/search/which-relantionship-exist-between-polyps-and-color/U-KipjLsQZS2vVpvv8HCwg/
Turner D, Ricciuto A, Lewis A, et al. STRIDE-II: an update on the Selecting Therapeutic Targets in Inflammatory Bowel Disease (STRIDE) initiative of the International Organization for the Study of IBD (IOIBD): determining therapeutic goals for treat-to-target strategies in IBD. Gastroenterology. 2021;160(5):1570-1583. doi:10.1053/j.gastro.2020.12.031
Rubin DT, Ananthakrishnan AN, Siegel CA, Sauer BG, Long MD. ACG clinical guideline: ulcerative colitis in adults. Am J Gastroenterol. 2019;114(3):384-413. doi:10.14309/ajg.0000000000000152
Jrebi NY, Hefty M, Jalouta T, et al. High-definition colonoscopy increases adenoma detection rate. Surg Endosc.
;31(1):78-84. doi:10.1007/s00464-016-4986-7
Heitman SJ, et al. Prevalence of adenomas and colorectal cancer in average risk individuals: a systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2009;7(12):1272-1278.
Downloads
-
Vistas(Views): 2
- PDF (Español (España)) Descargas(Downloads): 0
Published
How to Cite
Issue
Section
License
Cesión de derechos y tratamiento de datos
La aceptación de un artículo para su publicación en la Revista Médica de Risaralda implica la cesión de los derechos de impresión y reproducción, por cualquier forma y medio, del autor a favor de Facultad de Ciencias de la Salud de la Universidad Tecnológica de Pereira. 1995-2018. Todos los derechos reservados ®
por parte de los autores para obtener el permiso de reproducción de sus contribuciones. La reproducción total o parcial de los trabajos aparecidos en la Revista Médica de Risaralda, debe hacerse citando la procedencia, en caso contrario, se viola los derechos reservados.
Asimismo, se entiende que los conceptos y opiniones expresados en cada trabajo son de la exclusiva responsabilidad del autor, sin responsabilizarse ni solidarizarse, necesariamente, ni la redacción, ni la editorial.
Es responsabilidad de los autores poder proporcionar a los lectores interesados copias de los datos en bruto, manuales de procedimiento, puntuaciones y, en general, material experimental relevante.
Asimismo, la Dirección de la revista garantiza el adecuado tratamiento de los datos de carácter personal