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Previous studies suggest that a significant number of physicians systematically perform screening colonoscopies at 5-year versus recommended 10-year intervals and that many colonoscopists recommend that surveillance colonoscopy after resection of polyps begin earlier than is accepted in guidelines.
Now, investigators have retrospectively assessed the receipt of inappropriate screening colonoscopy in Medicare beneficiaries who had received a recent colonoscopy (index colonoscopy), including a 100% sample in Texas and a 5% sample in the U.S. Screening colonoscopy was distinguished from diagnostic colonoscopy by the absence of a relevant diagnostic indication on the index colonoscopy claim or on any claim 3 months before the procedure. Early re…