SEPTEMBER 24, 2020

‘Sad Economics’ Bedevils EMR

Endoscopists lament poor reimbursement for polyp removal procedure

Endoscopic mucosal resection of large polyps is more challenging and time-consuming than screening colonoscopy, but physicians are better compensated if they avoid the former and opt for the latter, according to the findings of a study from Northwestern University, in Chicago.

Clinicians generally prefer EMR to surgery for the management of complex colon polyps, as it is associated with lower cost and fewer adverse events. But the increased time and complexity of EMR have raised questions about