Annals of Internal Medicine, tip sheet, January 15, 2002

January 14, 2002

New Recommendations on Using Aspirin to Prevent Heart Disease

(Call for news release on new U.S. Preventive Services Task Force recommendations.)

* * *

Accurate Profiling of Physician Care Depends on Study Design

Physician profiling is the practice of comparing individual doctors or clinics. Accurate profiling is in the best interest of patients, doctors, and the public. In this study, the initial analysis of physician care of diabetic patients found differences in care between generalists and subspecialist endocrinologists. But when the researchers used statistical techniques to account for both differences in patient characteristics and differences between clinics, the differences between physician specialties disappeared (Article, p. 111). The authors note that most national quality-of-care initiatives fail to adjust adequately for patient characteristics and none adjust for variations between individual physicians or practices. An editorial outlines questions that consumers should ask when looking at physicians and health practice profiles: Does the information take into account how sick the case-mixes of the groups' patients were? Is the number of cases in each group large enough to accurately represent typical practice patterns? Do the performance measures reflect the possibility that similar patients and physicians cluster into certain types of practices? (Editorial, p. 153).

* * *

Colonoscopy May be Cost Effective for Young People with Rectal Bleeding

Using a computer model, researchers estimated the effectiveness and cost of various procedures in investigating rectal bleeding in people aged 25 to 45 years old (Article, p. 99). The most expensive of the procedures, colonoscopy - examination of the entire colon using a fiberoptic instrument - is considered appropriate for people with rectal bleeding older than age 45 because colorectal cancer is common in older people. The study found that, compared with other procedures, colonoscopy increased life expectancy and became more cost-effective as the patient's age increased. The most cost-effective strategy to investigate rectal bleeding depends on the patient's age, the cost of the procedures, the specialist involved, and the perspective of the decision maker, the authors say.
-end-
Annals of Internal Medicine is published by the American College of Physicians-American Society of Internal Medicine (ACP-ASIM), an organization of more than 115,000 internal medicine physicians and medical students. The following highlights are not intended to substitute for articles as sources of information. For an embargoed fax of an article, call 1-800-523-1546, ext. 2656 or 215-351-2656.

American College of Physicians

Related Colonoscopy Articles from Brightsurf:

Using robotic assistance to make colonoscopy kinder and easier
Scientists have made a breakthrough in their work to develop semi-autonomous colonoscopy, using a robot to guide a medical device into the body.

Nearly 1 in 8 patients receive unexpected out-of-network bills after colonoscopy
Nearly 1 in 8 commercially insured patients nationwide who underwent an elective colonoscopy between 2012 and 2017 performed by an in-network provider received potential 'surprise' bills for out-of-network expenses, often totaling hundreds of dollars or more.

Swallowing this colonoscopy-like bacteria grabber could reveal secrets about your health
Your gut bacteria could say a lot about you, such as why you're diabetic or how you respond to certain drugs.

Examining association between older age, risk of complications after colonoscopy
This observational study looked at the risk of complications after an outpatient colonoscopy among patients age 75 and older compared to younger patients.

Bowel cancer rates after colonoscopy vary by provider
A colonoscopy is the main test used to detect bowel cancer, but like most tests, it is not always 100% accurate and cancers can be missed.

Will disposable colonoscopy devices replace reusables?
As a disposable version of the instrument used in one of the most common medical procedures in the United States inches closer to widespread availability, a team of Johns Hopkins data researchers is studying the economic and safety implications associated with the devices used to perform colonoscopies.

Sedation method does not affect colonoscopy detection rate
Colon cancer is the second leading cause of cancer death in the United States and colonoscopy is the most-used screening tool to detect it.

Blue dye tablet helps identify polyps during colonoscopy
Ingestion of a blue dye tablet during bowel prep for colonoscopy could be a significant advance in the early detection of colorectal cancer (CRC).

Low complication rates after screening colonoscopy
During colonoscopy screening for bowel cancer and in the four weeks after the procedure, the risk for complications to develop is low.

Patients with positive fecal screening test, sooner is better for colonoscopy
The risk of colorectal cancer increased significantly when colonoscopy was delayed by more than nine months following a positive fecal screening test, according to a large Kaiser Permanente study published today in the Journal of the American Medical Association.

Read More: Colonoscopy News and Colonoscopy Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.