Navigation Links
1 in 4 colonoscopies in Medicare patients found to be potentially inappropriate
Date:3/13/2013

Colonoscopy is one of the most effective cancer screening procedures available. Colon cancer grows very slowly and can be treated if caught early through screening. But, perhaps because of this success, older Americans are undergoing screening colonoscopies despite recommendations against screening in adults aged 76 and older.

A new study by researchers at the University of Texas Medical Branch at Galveston published online today in JAMA Internal Medicine shows that one out of four colonoscopies paid for by Medicare is potentially inappropriate under current screening guidelines set forth by the United States Preventive Services Task Force.

A screening procedure for cancer, as opposed to a diagnostic one, is done at certain recommended ages and intervals to find early cancers before symptoms emerge. The Pap smear, the mammogram and the PSA test are examples. A diagnostic test, on the other hand, is done when a patient experiences symptoms that indicate an abnormality such as bleeding, pain or a lump.

The USPSTF says a colonoscopy is inappropriate if repeated within 10 years after a negative screening result in a patient 70 to 75 who is not experiencing symptoms. Routine screening colonoscopy is not recommended for patients 76 to 85 years, and any screening at all is discouraged in patients older than 85.

The UTMB researchers looked at claims data on all Medicare patients in Texas 70 and older who had colonoscopies during a one-year period between 2008 and 2009. The researchers also looked at data on five percent of the 70 and older Medicare patients throughout the United States who had colonoscopies during that same time period. The researchers found that 23.4 percent of colonoscopies paid for by Medicare were potentially inappropriate, based on USPSTF guidelines.

"Screening colonoscopy comes with a real risk of complications for older adults, such as perforation, bleeding or incontinence," said lead researcher Kristin Sheffield, assistant professor of surgery at UTMB.

The researchers are not saying that patients who have symptoms such as anemia, gastrointestinal bleeding or abdominal pain should forgo colonoscopies. In fact, they insist that patients with relevant diagnoses should receive further testing. "At the same time, however, older adults are less likely to benefit from early detection because the natural history of colon cancer usually involves a slow progression from polyp to cancer," said Sheffield.


'/>"/>

Contact: Molly Dannenmaier
mjdannen@utmb.edu
409-771-5105
University of Texas Medical Branch at Galveston
Source:Eurekalert

Related medicine news :

1. Seniors Getting Unnecessary Colonoscopies: Study
2. Doctors Health Press Reports on German Study: Only 20% of Patients Get Colonoscopies, Important in Preventing and Diagnosing Colon Cancer
3. Missing Follow-Up Colonoscopies Could Raise Colon Cancer Risk
4. Medicare Spending Not Linked to Longer Cancer Survival
5. Setting the record straight on Medicares overhead costs: New study
6. Pitt study examines cost-effectiveness of medicare drug plans in schizophrenia and bipolar disorder
7. Internists offer recommendations for solutions to medicare payment problems
8. Medicare Expert Will Detail Strategies for Improving Star Ratings in Feb. 20 Atlantic Information Services Webinar
9. ACP applauds introduction of bipartisan bill to eliminate Medicare SGR formula
10. Corporate Whistle Blower Center Urges ER Physicians Or Hospital Staff To Turn In Hospitals Admitting Patients For Medicare Fraud For Huge Whistleblower Rewards
11. 1,800 Michigan doctors launch effort to improve health care for Medicare patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/5/2016)... ... , ... TransWipe Volume 3 is a set of 30 professional transition animations ... between two video clips to instantly add a unique transition to any Final Cut ... and orientation options. TransWipe Volume 3 is a Final Cut Pro X exclusive plugin. ...
(Date:5/5/2016)... (PRWEB) , ... May 05, 2016 , ... While the ... being paid to the impact our aging population has on communities and resources. Aging ... adults plan for and face age-related challenges. , Aging Life Care is a ...
(Date:5/5/2016)... , ... May 05, 2016 , ... ... overall select performance in the industry’s gold standard KLAS Performance Report, ... Epic Consulting report assessed organizations that specialize in consulting services for electronic health ...
(Date:5/5/2016)... , ... May 05, 2016 , ... ... long-acting injectables (LAIs), today announced a development collaboration with the Australian critical ... serious mental disorders such as schizophrenia. , LAI medicines can offer improved therapeutic ...
(Date:5/5/2016)... ... 05, 2016 , ... Textile Exchange is excited to announce the ... review. The stakeholder review is an important opportunity for interested parties to give input ... to the wool industry., The RWS is intended to be a global benchmark for ...
Breaking Medicine News(10 mins):
(Date:5/5/2016)... , May 6, 2016 ... of liver disorders along with rise in obesity ... drugs in the coming few years. The NASH ... last five years on account of rising number ... is a large, un-tapped market with no FDA ...
(Date:5/5/2016)... reported initial promising results in animal trials of its Zika vaccine candidates. ... ... ... ... analysis identified the highest gene Replikin Counts in Zika history back to 1946 (1). ...
(Date:5/5/2016)... May 5, 2016  Endo International plc (NASDAQ: ... that Brian Lortie , President, U.S. Branded ... position upon the appointment of a successor. Mr. ... U.S. Pharmaceuticals business with responsibility for all strategic, ... strategy and portfolio development, commercial operations, managed markets, ...
Breaking Medicine Technology: