Abstract
Among more than 6 million screening colonoscopies performed annually in the United States, up to one-third may represent potential overuse.1,2 Colorectal cancer (CRC) screening overuse is defined as screening in specific clinical scenarios that provide no net benefit to individuals, such as screening too frequently or outside the age of eligibility.3-5 Colonoscopy overuse is an important problem because it can cause direct patient harm (eg, 0.3% complication rate leading to hospitalization or death), raise health care costs, and reduce availability of appropriate endoscopy for other individuals.
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