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Out-of-network claims were incurred by 12.1 percent of commercially insured patients who underwent elective colonoscopy between 2012 and 2017

Out-of-Network Claims Fairly Common for Elective Colonoscopy

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Out-of-network claims involved anesthesiologist, pathologist in 64, 40 percent of cases, respectively
Many patients with biopsy-confirmed advanced colorectal polyps are unaware of their need for repeat colonoscopy as well as the proper surveillance interval

High-Risk Patients Not Aware of Needed Colonoscopy Intervals

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Findings among patients with biopsy-confirmed advanced colorectal polyps
For individuals undergoing outpatient colonoscopy

Complications After Colonoscopy Up for Those Aged ≥75

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Other factors associated with risk include anemia, cardiac arrhythmia, hypertension, smoking history, obesity
Colorectal cancer incidence and mortality are reduced for a period of 17.4 years following a single negative screening colonoscopy

Lasting Drop Seen in CRC Incidence, Death After Negative Colonoscopy

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Reductions only seen for 10.1 to 17.4 years of follow-up after high-quality colonoscopy
In two guideline updates from the U.S. Multi-Society Task Force on Colorectal Cancer

Recommendations Updated for Postcolonoscopy Management

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Guidance also provided for removal techniques for colorectal lesions of different sizes
The prevalence of colorectal cancer screening is lowest among adults aged 50 to 54 years

Prevalence of CRC Screening Lowest in Adults Aged 50 to 54

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Colorectal cancer screening prevalence 50.0 percent among those aged 50 to 54, increases with age
The risk for colorectal cancer death drops with an increasing number of prediagnostic colonoscopies

Prediagnostic Colonoscopy Cuts Colorectal Cancer Death Risk

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Mortality risk drops 17 percent with one colonoscopy before diagnosis, 45 percent with three colonoscopies
The cost per colonoscopy

Costs of Reusable Colonoscopes Vary Based on Center Volume

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Cost per colonoscopy ranges from $188.64 at high-volume centers to $501.16 at low-volume centers
From 2000 to 2015

Colonoscopy Rates Increased in Those Aged 45 to 54 Years

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However, 2000 to 2015 saw increased colorectal cancer incidence for ages 40 to 54
Among patients at average risk undergoing screening colonoscopies

Colonoscopy Quality Not Affected by Sedation Method

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No difference found in adenoma or polyp detection rates between moderate and deep sedation