![]() Results: A totalof 29 million, 2.7 million, and 3.5 million individuals were analyzed in the 2009commercial, Medicare, and Medicaid databases, respectively. We also examined time trendsin procedure volume from 2000-2009 in the commercial database. Because the upper and lower endoscopycategories encompassed multiple procedures, a subanalysis was performed forselected common EGD and colonoscopy codes. To determine costs, all outpatient expenditures fromthe day of the procedure were calculated, standardized by age and gender, andaverage and total costs were estimated. in 2009, the number of procedures in each database werestandardized to the actual age and gender distribution of the U.S. To estimate the number of proceduresperformed in the U.S. ![]() We used CPT codes toidentify all endoscopic procedures in three broad categories: upper (EGD, upperEUS, and enteroscopy), lower (colonoscopy, flex sig, lower EUS, pouch/stomaendoscopy), and biliary (ERCP). Methods: We analyzed the Thompson ReutersMarketScan commercial, Medicare, and Medicaid databases, which contain de-identified, person-level health care claims data for all inpatient, outpatient, andpharmaceutical services for a selection of health plans. Aim: To estimate thenumber and costs of upper, lower, and biliary endoscopy in the U.S, andevaluate recent time trends. is limited given the lack of unifiednational electronic medical record and payment systems. Shaheen1,Michael Kappelman31Medicine, Division of Gastroenterology and Hepatology, University ofNorth Carolina School of Medicine, Chapel Hill, NC 2WorldwideEpidemiology, GlaxoSmithKline, Research Triangle Park, NC 3Pediatrics, Division of Pediatric Gastroenterology, University of NorthCarolina School of Medicine, Chapel Hill, NCBackground: Data on the number and cost of endoscopic procedures is neededto inform policy regarding resource allocation, workforce requirements, andfuture care delivery. 67A Decade of Increased Gastrointestinal Endoscopy Utilizationand Costs in the United States, 2000-2009Evan S.
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