Can I read Racial disparities in the use of and indications for colorectal procedures in Medicare beneficiaries on EtoBox?

Racial disparities in the use of and indications for colorectal procedures in Medicare beneficiaries by Gregory S. Cooper; Siran M. Koroukian is a Medicine article available to read on EtoBox.

What is Racial disparities in the use of and indications for colorectal procedures in Medicare beneficiaries about?

## Abstract ## BACKGROUND African Americans are diagnosed more frequently with colorectal carcinoma at a later stage compared with Caucasians. One potential reason for the disparity is a lower rate of screening examinations. ## METHODS Using Outpatient and Physician‐Supplier claims for all Medicare beneficiaries age ≥ 65 years in 1999, indications for fecal occult blood testing (FOBT), sigmoidoscopy, colonoscopy, and barium enema were divided into diagnostic, surveillance, or screening categories. Annualized rates were calculated based on the number of eligible fee‐for‐service months. ## RESULTS Rates of FOBT (18.24% vs. 11.86%; __P__ < 0.001) and sigmoidoscopy (3.07% vs. 2.17%; __P__ < 0.001) were higher in Caucasians compared with African Americans, whereas rates of barium enema were higher in African Americans (2.26% vs. 1.88%; __P__ < 0.001). Colonoscopy use was more frequent among men only in Caucasians compared with African‐Americans (8.00% vs. 6.97%; __P__ < 0.001). For FOBT, sigmoidoscopy, and colonoscopy, the racial differences in procedures performed for diagnostic purposes were of smaller magnitude than for screening; and, for colonoscopy, the use of diagnostic procedure

Who reads Racial disparities in the use of and indications for colorectal procedures in Medicare beneficiaries?

Author

Gregory S. Cooper; Siran M. Koroukian

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0008-543X)

Published

2004

Language

EN

Field

Medicine (Health Sciences)