Impact of the COVID-19 pandemic on adherence to diagnostic colonoscopy after a positive non-invasive screening test for colorectal cancer in two Indiana healthcare systems

Autor: Benjamin Richter, Sarah M. Roth, Lilian Golzarri-Arroyo, Vinod Kumar, Rick Tuason, Thomas F. Imperiale
Jazyk: angličtina
Rok vydání: 2025
Předmět:
Zdroj: Preventive Medicine Reports, Vol 49, Iss , Pp 102937- (2025)
Druh dokumentu: article
ISSN: 2211-3355
DOI: 10.1016/j.pmedr.2024.102937
Popis: Objective: To describe trends in the use of non-invasive tests (NIST) and the interval between a positive NIST and diagnostic colonoscopy. Methods: Using a retrospective time-trend design, we examined medical records of patients within two large Indiana integrated healthcare systems who had a positive NIST between January 2019 and June 2021 and quantified the proportion of patients who had not completed colonoscopy within 60, 90, and 180 days to determine the interval between NIST result and diagnostic colonoscopy in days. Results: Of 1379 patients with positive NISTs, 930 (68 %) underwent diagnostic colonoscopy during the 30-month study timeframe. Median time to colonoscopy completion was significantly longer in 2020 compared to 2019 (50 vs. 37 days, p
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