It is well known that the rates of follow-up colonoscopy after a positive fecal screening test are suboptimal, and delays in colonoscopy versus prompt colonoscopy are associated with more advanced colorectal cancer (CRC).<\/p>\n\n\n\n
This study included 32,769 average-risk 50- to 75-year-olds from 5 U.S. health care organizations. All of the patients had a positive fecal screening result, a primary care visit less than 15 months before the fecal test, and some documented chart activity at least 90 days after a positive test. None of the patients had a colonoscopy within the 10 years before fecal testing, and none had a recognized screening test within the recommended interval.<\/p>\n\n\n\n
The rates of completed colonoscopy were 56.1% within 360 days of a positive screening test, 51.4% within 180 days, and 43.2% within 90 days. Compared with White patients, colonoscopy completion was 15% lower for Black patients and 21% lower for Asian patients. Compared with patients with commercial insurance, Medicare patients had a 5% lower colonoscopy completion rate, and Medicaid patients had a 21% lower rate. More comorbidities were also associated with a lower rate of completed colonoscopy, including a 36% lower rate for patients with a Charlson Comorbidity Index of 5 or greater. The strongest predictor of colonoscopy completion was a multitarget stool DNA test (mt-sDNA; Cologuard), which was associated with a 63% higher rate of completion.<\/p>\n","protected":false},"excerpt":{"rendered":"
It is well known that the rates of follow-up colonoscopy after a positive fecal screening test are suboptimal, and delays in colonoscopy versus prompt colonoscopy are associated with more advanced colorectal cancer (CRC). This study included 32,769 average-risk 50- to 75-year-olds from 5 U.S. health care organizations. All of the patients had a positive fecal … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2058,1822,1823,1343,3601],"class_list":["post-13718","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-colon-2","tag-colonoscopy-2","tag-colorectal-cancer","tag-crc","tag-stool-test-2"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/13718","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=13718"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=13718"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=13718"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}