Mo1092 The Prevalence and Distribution of Adenomas Among Black and Hispanic Average-Risk Individuals Undergoing Screening Colonoscopy: A Prospective Study

Abstract

0.7, and PI:0.3+/-0.6;p=0.11). HIS did also not affect the number of GI office visits in general and those specific to IBS-related complaints (p=0.49 and p=0.96, respectively). Imaging studies were used significantly more often (p,0.0001) in M/M patients than in FC and PI patients both when analyzed as total (10+/-14, 4+/-6, and 2+/-4;) and IBS-related complaints only (0.8+/-2.3, 0.4+/-0.91, and 0.3+/-1.0;p=0.003). The number of IBS-related (PI:0.1+/-0.5, M/M:0.2+/-0.6 and FC:0.07+/-0.4; p=0.02) and total number of ED visits (PI:0.4+/-1.4, M/M:2.3+/-4;FC:1.6+/-1.2; p,0.0001) differed among the HIS with highest utilization rates in the M/M group. Similarly, hospitalization rates were significantly higher in M/M insured IBS patients when compared with PI and FC (total events: p ,0.0001; IBSrelated events only: p=0.009). Conclusions: In this study, substantially higher HCU was demonstrated among M/M insured IBS patients as measured by outpatient ED and PCP visits, imaging studies, and hospitalization rates when compared with PI and FC. No disparities were evident in IBS-related utilization of endoscopic procedures and GI office visits. Government funded-health insurance status is associated with significantly higher health care utilization rates in IBS patients at BMC.