Medicare cost of colorectal cancer screening: CT colonography vs. optical colonoscopy
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| 008 | 210128e20151001xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00261-015-0538-1 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00261-015-0538-1 | ||
| 245 | 0 | 0 | |a Medicare cost of colorectal cancer screening: CT colonography vs. optical colonoscopy |h [Elektronische Daten] |c [Bruce Pyenson, Perry Pickhardt, Tia Sawhney, Michele Berrios] |
| 520 | 3 | |a Purpose: To compare the Medicare population cost of colorectal cancer (CRC) screening of average risk individuals by CT colonography (CTC) vs. optical colonoscopy (OC). Methods: The authors used Medicare claims data, fee schedules, established protocols, and other sources to estimate CTC and OC per-screen costs, including the costs of OC referrals for a subset of CTC patients. They then modeled and compared the Medicare costs of patients who complied with CTC and OC screening recommendations and tested alternative scenarios. Results: CTC is 29% less expensive than OC for the Medicare population in the base scenario. Although the CTC cost advantage is increased or reduced under alternative scenarios, it is always positive. Conclusion: CTC is a cost-effective CRC screening option for the Medicare population and will likely reduce Medicare expenditures for CRC screening. | |
| 540 | |a The Author(s), 2015 | ||
| 690 | 7 | |a CT colonography |2 nationallicence | |
| 690 | 7 | |a Optical colonoscopy |2 nationallicence | |
| 690 | 7 | |a Medicare |2 nationallicence | |
| 690 | 7 | |a Costs |2 nationallicence | |
| 690 | 7 | |a Cost-effectiveness |2 nationallicence | |
| 690 | 7 | |a ACR : American College of Radiology |2 nationallicence | |
| 690 | 7 | |a ACG : American College of Gastroenterologists |2 nationallicence | |
| 690 | 7 | |a ACS : American Cancer Society |2 nationallicence | |
| 690 | 7 | |a AGA : American Gastroenterological Association |2 nationallicence | |
| 690 | 7 | |a ASGE : American Society for Gastrointestinal Endoscopy |2 nationallicence | |
| 690 | 7 | |a CMS : Centers of Medicare and Medicaid Services |2 nationallicence | |
| 690 | 7 | |a CPT® : Current procedural terminology, a registered trademark® of the American Medical Association (AMA) |2 nationallicence | |
| 690 | 7 | |a CRC : Colorectal cancer |2 nationallicence | |
| 690 | 7 | |a CTC : CT colonography |2 nationallicence | |
| 690 | 7 | |a HCPS : Healthcare common procedure coding system |2 nationallicence | |
| 690 | 7 | |a HOPD : Hospital outpatient department |2 nationallicence | |
| 690 | 7 | |a IV : Intravenous |2 nationallicence | |
| 690 | 7 | |a OC : Optical colonography |2 nationallicence | |
| 690 | 7 | |a OPPS : Outpatient prospective payment system |2 nationallicence | |
| 690 | 7 | |a USPSTF : US Preventative Services Task Force |2 nationallicence | |
| 700 | 1 | |a Pyenson |D Bruce |u Milliman, One Pennsylvania Plaza, 38th Floor, 10019, New York, NY, USA |4 aut | |
| 700 | 1 | |a Pickhardt |D Perry |u University of Wisconsin School of Medicine & Public Health, Madison, WI, USA |4 aut | |
| 700 | 1 | |a Sawhney |D Tia |u Milliman, One Pennsylvania Plaza, 38th Floor, 10019, New York, NY, USA |4 aut | |
| 700 | 1 | |a Berrios |D Michele |u Milliman, One Pennsylvania Plaza, 38th Floor, 10019, New York, NY, USA |4 aut | |
| 773 | 0 | |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/8(2015-10-01), 2966-2976 |x 0942-8925 |q 40:8<2966 |1 2015 |2 40 |o 261 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00261-015-0538-1 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00261-015-0538-1 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Pyenson |D Bruce |u Milliman, One Pennsylvania Plaza, 38th Floor, 10019, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Pickhardt |D Perry |u University of Wisconsin School of Medicine & Public Health, Madison, WI, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Sawhney |D Tia |u Milliman, One Pennsylvania Plaza, 38th Floor, 10019, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Berrios |D Michele |u Milliman, One Pennsylvania Plaza, 38th Floor, 10019, New York, NY, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/8(2015-10-01), 2966-2976 |x 0942-8925 |q 40:8<2966 |1 2015 |2 40 |o 261 | ||