CT colonography of a Medicare-aged population: outcomes observed in an analysis of more than 1400 patients

AJR Am J Roentgenol. 2012 Jul;199(1):W27-34. doi: 10.2214/AJR.11.7729.

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.

Publication types

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

MeSH terms

  • Aged
  • Cohort Studies
  • Colonic Polyps / diagnostic imaging*
  • Colonic Polyps / epidemiology*
  • Colonography, Computed Tomographic / statistics & numerical data*
  • Colorectal Neoplasms / diagnostic imaging*
  • Colorectal Neoplasms / epidemiology*
  • Female
  • Humans
  • Incidental Findings
  • Male
  • Mass Screening
  • Medicare / statistics & numerical data*
  • Prevalence
  • Referral and Consultation / statistics & numerical data
  • United States / epidemiology