Z Gastroenterol 2021; 59(08): e182
DOI: 10.1055/s-0041-1733544
Kolorektales Karzinom
Freitag, 17. September 2021, 16:15–17:43 Uhr, Saal 5
Klinische Praxis und Versorgungsforschung

10-year prevalence of overall colonoscopy and screening colonoscopy use in Germany: a claims data analysis

Authors

  • M Hornschuch

    1   Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Abteilung für Klinische Epidemiologie, Bremen, Deutschland

  • S Schwarz

    1   Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Abteilung für Klinische Epidemiologie, Bremen, Deutschland

  • U Haug

    1   Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Abteilung für Klinische Epidemiologie, Bremen, Deutschland
    2   Universität Bremen, Fakultät für Human- und Gesundheitswissenschaften, Bremen, Deutschland
Weitere Informationen
Auch verfügbar auf
 

Background Information on the colonoscopy use is important to interpret patterns and trends in colorectal cancer (CRC) incidence and mortality. In Germany, there is a lack of studies providing detailed and precise information on colonoscopy use at the population level.

Objective We aimed to describe 10-year prevalence of colonoscopy use overall and screening colonoscopy stratified by sex, age, region and socioeconomic status (SES) based on health insurance data.

Methods Using the German Pharmacoepidemiological Research Database (short GePaRD; claims data of ~20% of the German population), we included persons continuously insured from at least 2006 to 2017. Among these, we determined the number of persons with at least one colonoscopy between 2008 and 2017 to calculate the 10-year prevalence of colonoscopy use for the year 2017. We determined this prevalence for all colonoscopies and for screening colonoscopy (reimbursable from age 55 onwards) stratified by sex, age, SES and regional factors such as federal state, urban vs. rural district and density of physicians in the district of residence.

Results Among 7,475,668 persons, 10-year prevalence of overall colonoscopy use in 2017 was 26% (women: 27%, men: 25%). In men, the prevalence by age was as follows (not all age groups shown): 40-44 years: 11%, 50-54 years: 19%, 55-59 years: 31% (screening: 9%), 60-64 years: 41% (screening: 22%), 70-74 years: 43% (screening: 21%), 80-84 years: 40% (screening: 14%). In women, the prevalences were similar (differences ≤3 percentage points). Stratification by SES and regional factors did not show relevant differences in the prevalence.

Conclusion In 2017, about 40% of men and women in age group 60-84 had a colonoscopy in the past 10 years of which about 11%-24% had a screening colonoscopy. Analyses stratified by SES and regional factors suggest that there are no relevant social or regional disparities in utilization of colonoscopy in Germany.



Publikationsverlauf

Artikel online veröffentlicht:
07. September 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany