Universität zu Köln

Stock, C., Ihle, P., Schubert, I. and Brenner, H. (2011). Colonoscopy and fecal occult blood test use in Germany: results from a large insurance-based cohort. Endoscopy, 43 (9). S. 771 - 782. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8812

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Abstract

Background and study aims: Colonoscopy and guaiac-based fecal occult blood tests (FOBT) are recommended and offered for colorectal cancer (CRC) screening in Germany. We aimed to explore their utilization in a large insurance-based cohort. Patients and methods: Claims data from between 2000 and 2008 were collected for 170493 individuals who were insured by a large health insurance plan in the federal state of Hesse, Germany. The percentages of individuals who had recently utilized CRC screening-related procedures were calculated. Additionally, multiple test use and identification of CRC screening providers were ascertained. Results: Following the inception of the current CRC screening program in 2002, colonoscopy utilization rates varied only slightly and FOBT use decreased in individuals aged >= 50 years. At the end of 2008, the age-standardized percentages of individuals who had undergone colonoscopy within <= 10 years were 23% for men and 26% for women. The proportions of individuals who had used FOBT within <= 1 year were 14% for men and 22% for women. Patient education had been utilized by 38% of eligible persons and was increasingly followed by screening colonoscopy. For women, practices that specialized in gynecology were the main providers of FOBT (93%) and patient education (61%). Conclusions: This study provides new insights into the inter-related utilization of colonoscopy, FOBT, and patient education in Germany, and may be particularly informative for the design of strategies to increase CRC screening uptake. It indicates that sex differences in CRC screening test use could result to a large extent from general visits to different types of specialist physicians involved in the CRC screening process.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stock, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ihle, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schubert, I. UNSPECIFIED UNSPECIFIED UNSPECIFIED Brenner, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-489933
DOI:	10.1055/s-0030-1256504
Journal or Publication Title:	Endoscopy
Volume:	43
Number:	9
Page Range:	S. 771 - 782
Date:	2011
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8812
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CANCER SCREENING BARRIERS; COLORECTAL-CANCER; GENDER-DIFFERENCES; HEALTH-INSURANCE; PARTICIPATION; POPULATION; PREDICTORS; EUROPE; PILOT Multiple languages Gastroenterology & Hepatology; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48993