State of Oregon : Oregon.gov Home Page : State of Oregon
Adapted from December, 2009 meeting materials. HOSC minutes indicate that the recommendation was accepted without puted Tomography Colonography 74261-742631) Issue: should CT colongraphy be covered for screening and/or diagnosis of colonic polyps and colon cancer? Screening would be in place of colonoscopy (FOBT, sigmoidoscopy). Diagnostic CT colonography would be performed if optical colonoscopy was unsuccessful due to obstruction, or incomplete for a variety of reasons. Diagnostic CT colonography is deliberately distinct from a CT of the abdomen/pelvis (such as would be used as part of staging colon cancer).2) Evidencea. Centers for Medicare and Medicaid Services, 2009 i. Includes summary of multiple systematic reviews and technology assessments1. CT colonography cannot reliably detect polyps <6mm2. For larger polyps, it has reasonable sensitivity and specificity3. CT colonography functions as an able sensitivity and lack of therapeutic modality will cause increased referral for optical colonoscopy4. The cost of CT colonography would need to be in the range of $179 to $237 to be cost-effective compared to colonoscopy screeningii. Overall screening to be cost-effective compared todsuch as woul of CT colonography improves health outcomes in Medicare beneficiaries.b. USPSTF, 2008i. The evidence is insufficient to recommend for or against CT colonography for colon cancer screeningc. NICE, 2005i. Current evidence on the safety and efficacy of computed tomographic colonography (virtual colonoscopy) appears adequate to support the use of this procedured. Institute for Clinical and Economic Review, 2008i. The cost per life-year gained for CT colonography vs. no screening = $1,500ii. The cost per life-year gained for CT colongraphy vs.colonoscopy = $630,70003) Conclusions: No evidence shows superiority of CT colonography in detecting colonic masses compared to colonoscopy and shows some inferiority. It is also far less cost effective than colonoscopy which is the current standard.4) Recommendation: Services Recommended for Non-Coverage Table ................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- gl173 ct colonography 74261 74263 oregon
- state of oregon home page state of oregon
- colorectal cancer
- systematic review of the literature colonoscopy
- gastroenterologist fredericksburg va reflux stomach
- title of guideline colorectal cancer screening in adults
- lippincott williams wilkins
- gastroenterology gastroenterologist colorado springs
- centers for disease control and prevention
Related searches
- state of oregon caregiver certification
- state of oregon homecare worker
- state of oregon psw
- state of oregon caregiver application
- state of oregon caregivers
- state of oregon caregiver requirements
- state of oregon caregiver registry
- state of oregon education department
- state of oregon medical benefits
- state of oregon caregiver pay
- state of oregon caregiver program
- state of oregon vital records