A patient was considered up to date in CRC screening at the end of 2009 if he or she had undergone a FOBT in 2009, sigmoidoscopy examination or DCBE in 2005-2009, or colonoscopy examination in 2000-2009.
For example, for individuals who were 67 in 2009, there are only 2 years of prior Medicare data to examine for a charge for colonoscopy or sigrnoidoscopy or DCBE.
It is fair to say that within the United Kingdom the management of DCBE has become the radiographer's domain.
An overview of literature related to the historical development of the GI radiographer role up to the present day is presented, followed by justification for the introduction of radiographer-led DCBE services.
The DCBE examination was particularly problematic, mostly because it had extensive patient waiting lists.
In the modern colonoscopy era, DCBE is rarely used in IBD patients.
This method is more sensitive than DCBE in detecting early IBD changes.
19) Ota et al (20) showed that CT colonography had a good correlation with DCBE and colonoscopy for the detection of elevated lesions, such as inflammatory polyps and cobblestoning.
The DCBE is listed as a CRC screening test, but is not the primary test recommended.
17) However, DCBE often is used when colonoscopy is incomplete, unavailable or not desired by the patient.
A probe in 2000 by the Royal College of Radiologists into Dr Smith's X-rays blamed his bosses for not ensuring he was properly trained in DCBEs.
The consultant, who was said to be "devastated" when he realised his blunders, agreed to stop carrying out DCBEs.