5.2 Repeat colonoscopy MBS services, all ages

Colonoscopy is used to investigate the bowel. Repeat colonoscopy is mainly used to check for polyps and bowel cancer. Find out about variation in repeat colonoscopy rates in the Fourth Australian Atlas of Healthcare Variation 2021.

At a glance

  • Repeat colonoscopy is used mainly to check for polyps and bowel cancer in people with a higher risk of bowel cancer
  • There are limited reasons why a colonoscopy would be repeated within 3 years
  • After standardising to remove age and sex differences between populations, the rate of Medicare Benefits Schedule (MBS)-subsidised services for repeat colonoscopy performed within 2 years and 10 months of an earlier colonoscopy in 2018–19, was almost 20 times as high in the local area with the highest rate compared with the area with the lowest rate
  • A focus on driving implementation of national surveillance guidelines and the Colonoscopy Clinical Care Standard could reduce inappropriate repeat colonoscopies.

Interactive maps, graphs and data

Data show variation in rates by geographic location of patient residence. To use the interactive maps and graphs:

  • Hover or click on maps and graphs for details of data points
  • Use the dropdown boxes at the bottom of graphs to select states and territories, SA3s or PHNs

Learn more about using the interactive Atlas or how to interpret the data.

Map of rates across Australia

Rates by local area

//viz.aihw.gov.au/t/Public/views/Histogram_Repeat_colonoscopy/Histogram?%3Aiid=4&%3Aembed=y#1

Rates by state and territory

//viz.aihw.gov.au/t/Public/views/SOP_Repeatcolonoscopy/Stateandterritory?%3Aiid=1&%3Aembed=y#1

Rates by remoteness and SES

//viz.aihw.gov.au/t/Public/views/SOP_Repeatcolonoscopy/RemotenessandSES?%3Aiid=1&%3Aembed=y#2

About the data

About the data  - Repeat colonoscopy MBS services, all ages

Data are sourced from the MBS dataset. This dataset includes information on MBS claims processed by Services Australia. It covers a wide range of services (attendances, procedures, tests) provided across primary care and hospital settings.

The dataset does not include:

  • Services for publicly funded patients in hospital
  • Services for patients in outpatient clinics of public hospitals
  • Services covered under Department of Veterans’ Affairs arrangements.

The dataset does not allow analysis by Aboriginal and Torres Strait Islander status.

Rates are based on the number of MBS-subsidised services for repeat colonoscopy per 100,000 people of all ages, age and sex standardised, in 2018–19.

Because a record is included for each service rather than for each patient, patients who receive the service more than once in the financial year will have more than one service counted.

In the patient count analysis, patient counts reflect the  number of unique patients, regardless of the number  of services the patient may have received in the year.

The analysis and maps are based on the patient’s postcode recorded in their Medicare file and not the  location of the service.

Rates are age and sex standardised to allow comparisons between populations with different age and sex structures.

 

About the Atlas and how to interpret the data visualisations

This document outlines how to interpret the data correctly and explains the limitations of the data prior to using the Atlas:

2021
Publication, report or update

Map of rates across Australia

Rates by local area

//viz.aihw.gov.au/t/Public/views/Histogram_Repeat_colonoscopy/Histogram?%3Aiid=4&%3Aembed=y#1

Rates by state and territory

//viz.aihw.gov.au/t/Public/views/SOP_Repeatcolonoscopy/Stateandterritory?%3Aiid=1&%3Aembed=y#1

Rates by remoteness and SES

//viz.aihw.gov.au/t/Public/views/SOP_Repeatcolonoscopy/RemotenessandSES?%3Aiid=1&%3Aembed=y#2

About the data

About the data  - Repeat colonoscopy MBS services, all ages

Data are sourced from the MBS dataset. This dataset includes information on MBS claims processed by Services Australia. It covers a wide range of services (attendances, procedures, tests) provided across primary care and hospital settings.

The dataset does not include:

  • Services for publicly funded patients in hospital
  • Services for patients in outpatient clinics of public hospitals
  • Services covered under Department of Veterans’ Affairs arrangements.

The dataset does not allow analysis by Aboriginal and Torres Strait Islander status.

Rates are based on the number of MBS-subsidised services for repeat colonoscopy per 100,000 people of all ages, age and sex standardised, in 2018–19.

Because a record is included for each service rather than for each patient, patients who receive the service more than once in the financial year will have more than one service counted.

In the patient count analysis, patient counts reflect the  number of unique patients, regardless of the number  of services the patient may have received in the year.

The analysis and maps are based on the patient’s postcode recorded in their Medicare file and not the  location of the service.

Rates are age and sex standardised to allow comparisons between populations with different age and sex structures.

 

About the Atlas and how to interpret the data visualisations

This document outlines how to interpret the data correctly and explains the limitations of the data prior to using the Atlas:

2021
Publication, report or update

Rates by remoteness

Rates by socioeconomic status

//viz.aihw.gov.au/t/Public/views/Additional_Repeat_Colonoscopy/Ratesbysocioeconomicstatus?%3Aiid=2&%3Aembed=y#1

Rates without polyp removal

//viz.aihw.gov.au/t/Public/views/Additional_Repeat_Colonoscopy/Rateswithoutpolypremoval?%3Aiid=2&%3Aembed=y#1

About the data

About the data  - Repeat colonoscopy MBS services, all ages

Data are sourced from the MBS dataset. This dataset includes information on MBS claims processed by Services Australia. It covers a wide range of services (attendances, procedures, tests) provided across primary care and hospital settings.

The dataset does not include:

  • Services for publicly funded patients in hospital
  • Services for patients in outpatient clinics of public hospitals
  • Services covered under Department of Veterans’ Affairs arrangements.

The dataset does not allow analysis by Aboriginal and Torres Strait Islander status.

Rates are based on the number of MBS-subsidised services for repeat colonoscopy per 100,000 people of all ages, age and sex standardised, in 2018–19.

Because a record is included for each service rather than for each patient, patients who receive the service more than once in the financial year will have more than one service counted.

In the patient count analysis, patient counts reflect the  number of unique patients, regardless of the number  of services the patient may have received in the year.

The analysis and maps are based on the patient’s postcode recorded in their Medicare file and not the  location of the service.

Rates are age and sex standardised to allow comparisons between populations with different age and sex structures.

 

About the Atlas and how to interpret the data visualisations

This document outlines how to interpret the data correctly and explains the limitations of the data prior to using the Atlas:

2021
Publication, report or update

Rates by remoteness

Rates by socioeconomic status

//viz.aihw.gov.au/t/Public/views/Additional_Repeat_Colonoscopy/Ratesbysocioeconomicstatus?%3Aiid=2&%3Aembed=y#1

Rates without polyp removal

//viz.aihw.gov.au/t/Public/views/Additional_Repeat_Colonoscopy/Rateswithoutpolypremoval?%3Aiid=2&%3Aembed=y#1

About the data

About the data  - Repeat colonoscopy MBS services, all ages

Data are sourced from the MBS dataset. This dataset includes information on MBS claims processed by Services Australia. It covers a wide range of services (attendances, procedures, tests) provided across primary care and hospital settings.

The dataset does not include:

  • Services for publicly funded patients in hospital
  • Services for patients in outpatient clinics of public hospitals
  • Services covered under Department of Veterans’ Affairs arrangements.

The dataset does not allow analysis by Aboriginal and Torres Strait Islander status.

Rates are based on the number of MBS-subsidised services for repeat colonoscopy per 100,000 people of all ages, age and sex standardised, in 2018–19.

Because a record is included for each service rather than for each patient, patients who receive the service more than once in the financial year will have more than one service counted.

In the patient count analysis, patient counts reflect the  number of unique patients, regardless of the number  of services the patient may have received in the year.

The analysis and maps are based on the patient’s postcode recorded in their Medicare file and not the  location of the service.

Rates are age and sex standardised to allow comparisons between populations with different age and sex structures.

 

About the Atlas and how to interpret the data visualisations

This document outlines how to interpret the data correctly and explains the limitations of the data prior to using the Atlas:

2021
Publication, report or update

Data

Download the data sheet for Repeat colonoscopy MBS services:

 

Technical Supplement

Download the Technical Supplement: 

2021
Publication, report or update

Data

Download the data sheet for Repeat colonoscopy MBS services:

 

Technical Supplement

Download the Technical Supplement: 

2021
Publication, report or update