{"id":2474,"date":"2021-06-10T00:00:00","date_gmt":"2021-06-10T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/uptake-and-short-term-outcomes-of-high-risk-screening-colonoscopy-billing-codes-a-population-based-study-among-young-adults\/"},"modified":"2023-06-14T19:49:11","modified_gmt":"2023-06-14T23:49:11","slug":"uptake-and-short-term-outcomes-of-high-risk-screening-colonoscopy-billing-codes-a-population-based-study-among-young-adults","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/uptake-and-short-term-outcomes-of-high-risk-screening-colonoscopy-billing-codes-a-population-based-study-among-young-adults\/","title":{"rendered":"Uptake and short-term outcomes of high-risk screening colonoscopy billing codes: a population-based study among young adults"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; Persons suspected or confirmed with familial colorectal cancer syndrome are recommended to have biennial colonoscopy from late adolescence or early adulthood. Persons without a syndrome but with one or more affected first-degree relatives are recommended to begin colonoscopy 10 years before the age at diagnosis of the youngest affected relative, and every 5 to 10 years. Ontario introduced colonoscopy billing codes for these two indications in 2011.<\/p>\n<p><strong>Methods<\/strong> &#x2014; We identified persons in Ontario under 50 years of age, without a prior history of colorectal cancer or inflammatory bowel disease, with one or more of these billing claims between 2013 and 2017. We described the index colonoscopy, and subsequent colonoscopy up-to-date status. We computed average annual rates of colorectal and other cancer diagnoses, and displayed mean cumulative function plots, stratified by billing code, age and sex.<\/p>\n<p><strong>Results<\/strong> &#x2014; Billing claims for &#x2018;familial syndrome&#x2019; high-risk screening colonoscopy were identified among 14,846 persons; the average annual rate of CRC diagnoses was 38.6 per 100,000 among males and 22.2 among females. Colonoscopy up-to-date status fell to 50% within 7 years. Billing claims for &#x2018;first-degree relative&#x2019; screening colonoscopy was identified among 49,505 persons; average annual rates of CRC diagnoses were 16.3 among males and 13.5 per 100,000 among females, respectively.<\/p>\n<p><strong>Conclusion<\/strong> &#x2014; Colorectal cancer was more frequent following billing claims for high-risk screening colonoscopy for familial syndromes, as were noncolorectal malignancies potentially associated with these syndromes. This billing claim for familial colorectal cancer syndrome colonoscopy appears to identify a group at elevated short-term risk for cancer.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Persons suspected or confirmed with familial colorectal cancer syndrome are recommended to have biennial colonoscopy from late adolescence or early adulthood. Persons without a syndrome but with one or more affected first-degree relatives are recommended to begin colonoscopy 10 years before the age at diagnosis of the youngest affected relative, and every 5 [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-2474","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Paszat L, Sutradhar R, Luo J, Tinmouth J, Rabeneck L, Baxter NN. <em>J Can Assoc Gastroenterol<\/em>. 2022; 5(2):86-95. Epub 2021 Jun 10.","source_url":"https:\/\/academic.oup.com\/jcag\/advance-article\/doi\/10.1093\/jcag\/gwab014\/6296029","ices_scientist":[1177,1099,1370,1109],"site":[6733],"research_program":[6741],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"0DD7AC5F-3B93-4520-B218-8DDFA7809359","sitecore_item_name":"Uptake-and-short-term-outcomes-of-high-risk-screening-colonoscopy-billing-codes","sitecore_field_values":"{\n  \"Title\": \"Uptake and short-term outcomes of high-risk screening colonoscopy billing codes: a population-based study among young adults\",\n  \"Short title\": \"Uptake and short-term outcomes of\",\n  \"Summary\": \"The study found that colorectal cancer was more frequent following billing claims for high-risk screening colonoscopy for familial syndromes.\",\n  \"Citation\": \"<p>Paszat L, Sutradhar R, Luo J, Tinmouth J, Rabeneck L, Baxter NN. <em>J Can Assoc Gastroenterol<\/em>. 2022; 5(2):86-95. Epub 2021 Jun 10. DOI: <a href=\"https:\/\/doi.org\/10.1093\/jcag\/gwab014\" title=\"opens external link\">https:\/\/doi.org\/10.1093\/jcag\/gwab014<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; Persons suspected or confirmed with familial colorectal cancer syndrome are recommended to have biennial colonoscopy from late adolescence or early adulthood. Persons without a syndrome but with one or more affected first-degree relatives are recommended to begin colonoscopy 10 years before the age at diagnosis of the youngest affected relative, and every 5 to 10 years. Ontario introduced colonoscopy billing codes for these two indications in 2011.<\/p>n<p><strong>Methods<\/strong> &mdash; We identified persons in Ontario under 50 years of age, without a prior history of colorectal cancer or inflammatory bowel disease, with one or more of these billing claims between 2013 and 2017. We described the index colonoscopy, and subsequent colonoscopy up-to-date status. We computed average annual rates of colorectal and other cancer diagnoses, and displayed mean cumulative function plots, stratified by billing code, age and sex.<\/p>n<p><strong>Results<\/strong> &mdash; Billing claims for &lsquo;familial syndrome&rsquo; high-risk screening colonoscopy were identified among 14,846 persons; the average annual rate of CRC diagnoses was 38.6 per 100,000 among males and 22.2 among females. Colonoscopy up-to-date status fell to 50% within 7 years. Billing claims for &lsquo;first-degree relative&rsquo; screening colonoscopy was identified among 49,505 persons; average annual rates of CRC diagnoses were 16.3 among males and 13.5 per 100,000 among females, respectively.<\/p>n<p><strong>Conclusion<\/strong> &mdash; Colorectal cancer was more frequent following billing claims for high-risk screening colonoscopy for familial syndromes, as were noncolorectal malignancies potentially associated with these syndromes. This billing claim for familial colorectal cancer syndrome colonoscopy appears to identify a group at elevated short-term risk for cancer.<\/p>n<p><a href=\"https:\/\/academic.oup.com\/jcag\/advance-article\/doi\/10.1093\/jcag\/gwab014\/6296029\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{85DE96A6-4C96-40C7-8E6D-7597A0EB5F80}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{73B9FD95-5453-4FBA-B02E-CD2911B86ACD}|{F137150D-7BD5-4368-8FCC-FAF6D82891C4}|{56BF24FA-D81E-4114-BF1F-4715A424E26C}|{FB8F59D3-754C-4C51-87D6-3393A5D84432}\",\n  \"Posted Date\": \"20210610T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2021\/June\/Uptake-and-short-term-outcomes-of-high-risk-screening-colonoscopy-billing-codes"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Uptake and short-term outcomes of high-risk screening colonoscopy billing codes: a population-based study among young adults<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Persons suspected or confirmed with familial colorectal cancer syndrome are recommended to have biennial colonoscopy from late\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/uptake-and-short-term-outcomes-of-high-risk-screening-colonoscopy-billing-codes-a-population-based-study-among-young-adults\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Uptake and short-term outcomes of high-risk screening colonoscopy billing codes: a population-based study among young adults\" \/>\n<meta property=\"og:description\" content=\"Background &#x2014; Persons suspected or confirmed with familial colorectal cancer syndrome are recommended to have biennial colonoscopy from late\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/uptake-and-short-term-outcomes-of-high-risk-screening-colonoscopy-billing-codes-a-population-based-study-among-young-adults\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-14T23:49:11+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/uptake-and-short-term-outcomes-of-high-risk-screening-colonoscopy-billing-codes-a-population-based-study-among-young-adults\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/uptake-and-short-term-outcomes-of-high-risk-screening-colonoscopy-billing-codes-a-population-based-study-among-young-adults\\\/\",\"name\":\"ICES | Uptake and short-term outcomes of high-risk screening colonoscopy billing codes: a population-based study among young adults\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2021-06-10T04:00:00+00:00\",\"dateModified\":\"2023-06-14T23:49:11+00:00\",\"description\":\"Background &#x2014; 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