| Adoption of CT colonography by US hospitals. | |
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MedLine Citation:
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PMID: 21371666 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Computed tomographic colonography (CTC) is a new noninvasive technology proposed as an option for colorectal cancer screening. The purpose of this study was to identify the percentage of US hospitals that offered CTC between 2005 and 2008 and factors that motivated or impeded adoption. METHODS: Data on the provision of colorectal cancer screening services by nonfederal, general hospitals were analyzed using the 2005 to 2008 American Hospital Association annual surveys. Additionally, in 2009, exploratory interviews were conducted with representatives from radiology departments at 9 hospitals; 6 that provided CTC and 3 that did not. RESULTS: In 2008, 17% of hospitals offered CTC, up from 13% in 2005. Sixty-nine percent of hospitals that offered CTC in 2008 also offered optical colonoscopy services. Factors motivating the adoption of CTC included a desire to provide an alternative screening option for frail, elderly patients and patients with failed optical colonoscopy; long waits for optical colonoscopy; and promising evidence on CTC published in peer-reviewed literature. Lack of reimbursement was a commonly cited barrier. CONCLUSIONS: Growth of CT colonographic services at US hospitals occurred even in the absence of Medicare coverage or agreement among national guideline-setting organizations regarding CTC's use in screening. Almost one-third of hospitals that offer CTC do not offer optical colonoscopy and may not be prepared to provide adequate follow-up for patients with failed CTC. |
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Authors:
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Megan McHugh; Awo Osei-Anto; Carrie N Klabunde; Barbara A Galen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the American College of Radiology : JACR Volume: 8 ISSN: 1558-349X ISO Abbreviation: J Am Coll Radiol Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-03-04 Completed Date: 2011-07-19 Revised Date: 2012-09-24 |
Medline Journal Info:
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Nlm Unique ID: 101190326 Medline TA: J Am Coll Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 169-74 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 American College of Radiology. All rights reserved. |
Affiliation:
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Institute for Healthcare Studies, Northwestern University, Feinberg School of Medicine, Chicago, Illinois 60611, USA. mmchugh@gwmail.gwu.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Colonography, Computed Tomographic
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utilization* Colorectal Neoplasms / epidemiology*, radiography* Hospitals / statistics & numerical data* Humans Mass Screening / utilization* United States / epidemiology Utilization Review |
| Grant Support | |
ID/Acronym/Agency:
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HHSN261200900139P//PHS HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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