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Medicare Under Age 65 and Medicaid Patients Have Poorer Bowel Preparations: Implications for Recommendations for an Early Repeat Colonoscopy

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  • Bryan B Brimhall
  • Sam C Hankins
  • Vineel Kankanala
  • Gregory L Austin

Abstract

Background/Aims: Colonoscopy is performed on patients across a broad spectrum of demographic characteristics. These characteristics may aggregate by patient insurance provider and influence bowel preparation quality and the prevalence of adenomas. The purpose of this study was to evaluate the association of insurance status and suboptimal bowel preparation, recommendation for an early repeat colonoscopy due to suboptimal bowel preparation, adenoma detection rate (ADR), and advanced ADR (AADR). Methods: This is a cohort study of outpatient colonoscopies (n = 3113) at a single academic medical center. Patient insurance status was categorized into five groups: 1) Medicare

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  • Bryan B Brimhall & Sam C Hankins & Vineel Kankanala & Gregory L Austin, 2016. "Medicare Under Age 65 and Medicaid Patients Have Poorer Bowel Preparations: Implications for Recommendations for an Early Repeat Colonoscopy," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-14, May.
    • Handle: RePEc:plo:pone00:0155208
    DOI: 10.1371/journal.pone.0155208
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