caa a22 4500 605494797 CHVBK 20210128100528.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00261-015-0538-1 doi (NATIONALLICENCE)springer-10.1007/s00261-015-0538-1 Medicare cost of colorectal cancer screening: CT colonography vs. optical colonoscopy [Elektronische Daten] [Bruce Pyenson, Perry Pickhardt, Tia Sawhney, Michele Berrios] 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. The Author(s), 2015 CT colonography nationallicence Optical colonoscopy nationallicence Medicare nationallicence Costs nationallicence Cost-effectiveness nationallicence ACR : American College of Radiology nationallicence ACG : American College of Gastroenterologists nationallicence ACS : American Cancer Society nationallicence AGA : American Gastroenterological Association nationallicence ASGE : American Society for Gastrointestinal Endoscopy nationallicence CMS : Centers of Medicare and Medicaid Services nationallicence CPT® : Current procedural terminology, a registered trademark® of the American Medical Association (AMA) nationallicence CRC : Colorectal cancer nationallicence CTC : CT colonography nationallicence HCPS : Healthcare common procedure coding system nationallicence HOPD : Hospital outpatient department nationallicence IV : Intravenous nationallicence OC : Optical colonography nationallicence OPPS : Outpatient prospective payment system nationallicence USPSTF : US Preventative Services Task Force nationallicence Pyenson Bruce Milliman, One Pennsylvania Plaza, 38th Floor, 10019, New York, NY, USA aut Pickhardt Perry University of Wisconsin School of Medicine & Public Health, Madison, WI, USA aut Sawhney Tia Milliman, One Pennsylvania Plaza, 38th Floor, 10019, New York, NY, USA aut Berrios Michele Milliman, One Pennsylvania Plaza, 38th Floor, 10019, New York, NY, USA aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/8(2015-10-01), 2966-2976 0942-8925 40:8<2966 2015 40 261 https://doi.org/10.1007/s00261-015-0538-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-015-0538-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pyenson Bruce Milliman, One Pennsylvania Plaza, 38th Floor, 10019, New York, NY, USA aut NATIONALLICENCE 700 1- Pickhardt Perry University of Wisconsin School of Medicine & Public Health, Madison, WI, USA aut NATIONALLICENCE 700 1- Sawhney Tia Milliman, One Pennsylvania Plaza, 38th Floor, 10019, New York, NY, USA aut NATIONALLICENCE 700 1- Berrios Michele Milliman, One Pennsylvania Plaza, 38th Floor, 10019, New York, NY, USA aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/8(2015-10-01), 2966-2976 0942-8925 40:8<2966 2015 40 261