Potentially Inappropriate Screening Colonoscopy in Medicare Patients

JAMA Intern Medicine: March 11, 2013

Importance  Inappropriate use of colonoscopy involves unnecessary risk for older patients and consumes resources that could be used more effectively.

Objectives  To determine the frequency of potentially inappropriate colonoscopy in Medicare beneficiaries in Texas and to examine variation among physicians and across geographic regions.

Design, Setting, and Participants  This retrospective cohort study used 100% Medicare claims data for Texas and a 5% sample from the United States from 2000 through 2009. We identified Medicare beneficiaries aged 70 years or older who underwent a colonoscopy from October 1, 2008, through September 30, 2009. Read more