Direct Access Colonoscopy Saves Time With Comparable Results

Medscape June 3, 2024
Manasi Talwadekar

TOPLINE:

Direct access colonoscopy (DAC), which bypasses pre-procedure consultation, offers comparable success to office-scheduled colonoscopy (OSC) performed in consultation with a provider and may potentially reduce wait times.

METHODOLOGY:

• Although DAC programs may increase colorectal cancer screening rates, there are limited findings comparing their ability to ensure successful outcomes with that of traditional OSC.
• Researchers compared the successful completion of a screening or surveillance colonoscopy within 90 days of contact with the gastroenterology office in patients who underwent DAC (n = 1823; mean age, 58 years; 57.0% women) or OSC (n = 828; mean age, 61 years; 55.9% women).
• The need for pre-colonoscopy consultation, requirement for an advanced practice provider and/or navigator assistance, and choice of standard or high-dose...

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