« Previous
Next »
Gastroenterology
Volume 138, Issue 1
, Pages 27-30
, January 2010
Community Colonoscopy: A Gordian Knot?
References
- Are physicians doing too much colonoscopy? (A national survey of colorectal surveillance after polypectomy). Ann Intern Med. 2004;141:264–271
- . Pricing services in Medicare's physician fee schedule (MedPAC meeting, October 8, 2008). http://www.medpac.gov/transcripts/Pricing%20phys%20svcs%20Oct%2009%20pres.pdfAccessed October 21, 2009
- . The primary care-specialty income gap: why it matters. Ann Intern Med. 2007;146:301–306
- . Is there a better way to pay doctors? (Time Magazine, October 26, 2009). http://www.time.com/time/magazine/article/0,9171,1930501,00.htmlAccessed October 21, 2009
- Utilization of surveillance colonoscopy in community practice. Gastroenterology. 2010;138:73–81
- . Genesis of colorectal cancer. In: Sherlock P, Zamcheck N editor. Clinics in gastroenterology. Philadelphia: WB Saunders; 1976;505525
- . Morphology, anatomic distribution and cancer potential of colonic polyps—an analysis of 7000 polyps endoscopically removed. Ann Surgery. 1979;190:679–683
- Prevention of colorectal cancer by colonoscopic polypectomy. New Eng J Med. 1993;329:1977–1981
- Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal cancer and the American Cancer Society. Gastroenterology. 2006;130:1872–1885
- . Sporadic and syndromic hyperplastic polyps and serrated adenomas of the colon: classification, molecular genetics, natural history, and clinical management. Gastroenterol Clin North Am. 2008;37:25–46
- Nonpolypoid lesions of the colorectal mucosa. Gastrointest Endosc. 2008;68(4 Suppl):S3–S47
- Five-year risk of colorectal neoplasia after a negative colonoscopy. N Engl J Med. 2008;359:1218–1224
- . Endoscopist can be more powerful than age and male gender in predicting adenoma detection at colonoscopy. Am J Gastroenterol. 2007;102:856–861
- . Malpractice risks associate with colon cancer and inflammatory bowel disease. Am J Gastroenterol. 2004;99:1641–1644
- Association of colonoscopy and death from colorectal cancer. Ann Intern Med. 2009;150:1–8
- Variation in detection of adenomas and polyps by colonoscopy and change over time with a performance improvement program. Clin Gastroenterol Hepato. 2009 Aug 7;[Epub ahead of print]
- . Shattuck lecture—hidden barriers to improvement in the quality of care. N Engl J Med. 2001;345:1612–1619
- About AMSURG: history. http://www.amsurg.com/about/history.aspAccessed October 14, 2009
- PE: physicians endoscopy. http://www.endocenters.com/owning_a_center.htmlAccessed October 14, 2009
- Recommendations on the administration of sedation for the performance of endoscopic procedures. http://www.gastro.org/wmspage.cfm?parm1=371Accessed October 20, 2009
- Sedation for gastrointestinal endoscopy: new practices, new economics. Am J Gastroenterol. 2005;100:996–1000
- Endoscopist-directed administration of propofol: a worldwide safety experience. Gastroenterology. 2009;137:1220–1237
- Minnesota State Colon Cancer Initiative through the Institute for Clinical Systems Improvement and Minnesota Community Measurement. Available from: www.icsi.org and www.mnhealthscores.org.
- . http://www.gastro.org/wmspage.cfm?parm1=7868Accessed October 20, 2009
- Larson EB. Group health cooperative—one coverage and delivery model for accountable care.
- Fostering accountable health care: moving forward in Medicare. Health Affairs. 2009;28:w219–w231
- Alexander the Great and the Gordian knot. http://www.alexander-the-great.co.uk/gordian_knot.htmAccessed October 21, 2009
- A mysterious death. N Engl J Med. 1998;338:1764–1769
Conflicts of interest The majority of the author's annual income is derived from performing screening and surveillance colonoscopy under a fee for service reimbursement model. He is a partner in Minnesota Gastroenterology PA, and a part owner of 5 ambulatory endoscopy centers and a pathology laboratory.
Dr Allen is a subcontractor to Dr Timothy Church (co-author of the discussed article) on 3 on-going research studies and has co-authored papers with Dr Church.
Dr Allen was the original trainer for nurses performing sigmoidoscopy in the Prostate, Lung, Colorectal and Ovarian Cancer screening trial at the Minnesota site and received many of the participants referred for colonoscopy.
Dr Allen has chaired or participated in a number of state and national initiatives investigating resource use, guideline compliance and/or performance measurement as they pertain to screening or surveillance colonoscopy.
Dr Allen is a member of the Executive Committee that oversees the AGA's Digestive Health Outcomes Registry.
PII: S0016-5085(09)02052-6
doi: 10.1053/j.gastro.2009.11.035
© 2010 AGA Institute. Published by Elsevier Inc. All rights reserved.
« Previous
Next »
Gastroenterology
Volume 138, Issue 1
, Pages 27-30
, January 2010

