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Computed Tomography Colonography Less Costly Than Colonoscopy for Colorectal Cancer Screening of Commercially Insured Patients

The use of CT colonography for Colorectal Cancer Screening testing offers effective screening, patient-centered advantages, and lower costs compared with optical colonoscopy, and may be particularly appealing to the currently unscreened population with commercial health insurance. If the availability of CT colonogra­phy expands to meet the increased demand for it, CT colonography could cost up to 50% less than op­tical colonoscopy per screening year.

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Addressing Racial Disparity in Colorectal Cancer Screening With CT Colonography: Experience in an African-American Cohort

Colorectal cancer incidence and mortality are higher in African Americans as compared to non-Hispanic whites, and screening rates are lower in African Americans. We evaluated the African-American cohort (n [ 2490) of the computed tomographic (CT) colonography screening program at the Atlanta VA Medical Center. The yield of cancer (0.7%; 18/2490) was higher as compared with a previously published predominantly white CT colonography cohort, and the overall colonographic prevalence of polyps and masses ‡ 10 mm (8.5%) was within the range observed among African Americans undergoing screening optical colonoscopy. The addition of CT colonography to the colorectal cancer screening armamentarium could improve colorectal cancer detection and prevention in African Americans.

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Insurance Coverage for CT Colonography Increases Likelihood of Screening

People with insurance that covers CT colonography for colorectal cancer screening are almost 50 percent more likely to get screened than those whose policies don’t cover the procedure, according to a new Radiology study.
Colorectal cancer kills 50,000 people each year, despite the existence of screening methods that provide early detection and treatment of the disease.

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