Abstract

OBJECTIVE: We evaluated outcomes of patients 65 years old and older who underwent CT colonography (CTC) between 2004 and 2009.
CONCLUSION: The frequency of referral to colonoscopy based on a polyp size threshold of 6 mm was 14.5%. Colorectal neoplasia was found in 9.3% of patients, with advanced neoplasia in 3.3%. Potentially important extracolonic findings were observed in 2.9% of patients. The low rates of referral to colonoscopy, prevalence of advanced neoplasia, and prevalence of extracolonic findings make CTC a viable option for Medicare-aged patients.

Links

Publisher Full Text

Authors

Cash BD, Riddle MS, Bhattacharya I, Barlow D, Jensen D, del Pino NM, Pickhardt PJ

Institution

Department of Gastroenterology, National Naval Medical Center, 8901 Wisconsin Ave, Bldg 9, Bethesda, MD 20889-5000, USA. brooks.cash@med.navy.mil

Source

AJR. American journal of roentgenology 199:1 2012 Jul pg W27-34

MeSH

Aged
Cohort Studies
Colonic Polyps
Colonography, Computed Tomographic
Colorectal Neoplasms
Female
Humans
Incidental Findings
Male
Mass Screening
Medicare
Prevalence
Referral and Consultation
United States

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

22733929