Approaches for classifying the indications for colonoscopy using detailed clinical data.

ABSTRACT:

Background

Accurate indication classification is critical for obtaining unbiased estimates of colonoscopy effectiveness and quality improvement efforts, but there is a dearth of published systematic classification approaches. The objective of this study was to evaluate the effects of data-source and adjudication on indication classification and on estimates of the effectiveness of screening colonoscopy on late-stage colorectal cancer diagnosis risk.

Methods

This was an observational study in members of four U.S. health plans. Eligible persons (n = 1039) were age 55-85 and had been enrolled for 5 years or longer in their health plans during 2006-2008. Patients were selected based on late-stage colorectal cancer diagnosis in a case-control design; each case patient was matched

SUBMITTER: Fassil H 

PROVIDER: S-EPMC3927818 | biostudies-literature | 2014 Feb

REPOSITORIES: biostudies-literature