miércoles, 10 de diciembre de 2014

Disparities in endoscopy use for colorectal cancer screening in the... - PubMed - NCBI

Disparities in endoscopy use for colorectal cancer screening in the... - PubMed - NCBI



 2014 Mar;59(3):530-7. doi: 10.1007/s10620-013-2937-x. Epub 2013 Nov 19.

Disparities in endoscopy use for colorectal cancer screening in the United States.

Abstract

It is well established that disparities exist for colorectal cancer (CRC) incidence rates and death. With screening, death from CRC may be considered a preventable occurrence. Endoscopy (flexible sigmoidoscopy and colonoscopy) is the only modality with therapeutic benefit of removal of pre-cancerous polyps. The Patient Protection and Affordable Care Act mandated that preventive screening services be covered, which includes endoscopy for colon cancer screening. Recent federal rules have eliminated cost sharing for polyp removal during screening colonoscopy in privately insured patients; however, this has not been mandated for Medicare patients. Understanding the current state of disparities in endoscopy use is important, as these policy changes will affect millions of patients. The purpose of this literature review was to summarize the known research on disparities in endoscopy use for colon cancer screening in the United States and highlight areas for future research.

PMID:
 
24248417
 
[PubMed - indexed for MEDLINE]

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