ExploreFinding
Finding adverse
One-third (34%) of patients who underwent colonoscopy received follow-up interval recommendations shorter than multispecialty guidelines, while only 2% had longer intervals, with hyperplastic polyps (OR 3.1, 95% CI 1.7-5.8) and Northeast region (OR 5.4, 95% CI 2.1-13.8) associated with short intervals.
Effect size34% of patients had shorter-than-recommended follow-up intervals
ComparatorMultispecialty guideline-recommended follow-up intervals
Effect summaryadverse; 34% of patients had shorter-than-recommended follow-up intervals
Effect modifiers[{"modifier": "Geographic region (Northeast)", "interaction_p": "", "direction": "amplifies", "stratum_details": "Northeast region OR 5.4 (95% CI 2.1-13.8) for short follow-up interval", "plain_language": "Doctors in the Northeast were over 5 times more likely to schedule colonoscopy follow-ups earlier than guidelines recommend", "annotation_notes": ""}, {"modifier": "Hyperplastic polyps on index colonoscopy", "interaction_p": "", "direction": "amplifies", "stratum_details": "Hyperplastic polyps OR 3.1 (95% CI 1.7-5.8) for short follow-up interval", "plain_language": "Finding harmless polyps made doctors 3 times more likely to schedule unnecessarily early follow-ups", "annotation_notes": "Hyperplastic polyps are benign and do not change recommended follow-up interval per guidelines"}]

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Source

PMC5564394
Update on Medical Overuse
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