{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T08:39:45Z","timestamp":1785832785678,"version":"3.56.0"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T00:00:00Z","timestamp":1638489600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR001086"],"award-info":[{"award-number":["UL1TR001086"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R21 CA227776"],"award-info":[{"award-number":["R21 CA227776"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Colonoscopy is frequently performed in older adults, yet data on current use, and clinical outcomes of and follow\u2010up recommendations after colonoscopy in older adults are lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was an observational study using the New Hampshire Colonoscopy Registry of adults age \u226565\u2009years undergoing colonoscopy for screening, surveillance of prior polyps, or evaluation of symptoms. The main outcomes were clinical findings of polyps and colorectal cancer and recommendations for future colonoscopy by age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Between 2009 and 2019, there were 42,611 colonoscopies, of which 17,527 (41%) were screening, 19,025 (45%) surveillance, and 6059 (14%) for the evaluation of symptoms. Mean age was 71.1\u2009years (SD 5.0), and 49.3% were male. The finding of colorectal cancer was rare (0.71%), with the highest incidence among diagnostic examinations (2.4%). The incidence of advanced polyps increased with patient age from 65\u201369 to \u226585\u2009years for screening (7.1% to 13.6%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.05) and surveillance (9.4% to 12.0%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.001). Recommendations for future colonoscopy decreased with age and varied by findings at current colonoscopy. In patients without any significant findings, 85% aged 70\u201374\u2009years, 61.9% aged 75\u201379\u2009years, 39.1% aged 80\u201384\u2009years, and 27.4% aged \u226585\u2009years (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.001) were told to continue colonoscopy. Among patients with advanced polyps, 97.2% aged 70\u201374\u2009years, 89.6% aged 75\u201379\u2009years, 78.4% aged 80\u201384\u2009years, and 66.7% aged \u226585\u2009years were told to continue colonoscopy (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Within this comprehensive statewide registry, clinical findings during colonoscopy varied by indication and increased with age. Overall rates of finding advanced polyps and colorectal cancer are low. Older adults are frequently recommended to continue colonoscopy despite advanced age and insignificant clinical findings on current examination. These data inform the potential benefits of ongoing colonoscopy, which must be weighed with the low but known potential immediate and long\u2010term harms of colonoscopy, including cost, psychological distress, and long lag time to benefit exceeding life expectancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17560","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T06:07:56Z","timestamp":1638511676000},"page":"801-811","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Colonoscopy utilization and outcomes in older adults: Data from the New Hampshire Colonoscopy Registry"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7486-8310","authenticated-orcid":false,"given":"Audrey H.","family":"Calderwood","sequence":"first","affiliation":[{"name":"Department of Medicine Dartmouth\u2010Hitchcock Medical Center  Lebanon NH USA"},{"name":"Department of Health Policy and Clinical Practice Dartmouth's Geisel School of Medicine  Hanover NH USA"},{"name":"Department of Medicine Dartmouth's Geisel School of Medicine  Hanover NH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9302-4762","authenticated-orcid":false,"given":"Tor D.","family":"Tosteson","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Clinical Practice Dartmouth's Geisel School of Medicine  Hanover NH USA"},{"name":"Department of Biomedical Data Science and Community and Family Medicine Dartmouth's Geisel School of Medicine  Hanover NH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9642-6238","authenticated-orcid":false,"given":"Louise C.","family":"Walter","sequence":"additional","affiliation":[{"name":"Department of Medicine, San Francisco VA Health Care System  San Francisco CA USA"},{"name":"Department of Medicine, University of California at San Francisco  San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peiying","family":"Hua","sequence":"additional","affiliation":[{"name":"Department of Biomedical Data Science and Community and Family Medicine Dartmouth's Geisel School of Medicine  Hanover NH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1633-3040","authenticated-orcid":false,"given":"Tracy","family":"Onega","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences University of Utah, Huntsman Cancer Institute  Salt Lake City UT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2014.01.014"},{"key":"e_1_2_9_3_1","unstructured":"United States Census Bureau. 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