Cost-effectiveness of colonoscopy Journal Article


Author: Zauber, A. G.
Article Title: Cost-effectiveness of colonoscopy
Abstract: This article presents a cost-effectiveness analysis of colorectal cancer screening tests that have been recommended by the United States Preventive Services Task Force, American Cancer Society US Multi-Society Task Force on Colorectal Cancer American College of Radiology, or the American College of Gastroenterology. This cost-effectiveness analysis supports a common theme of the 3 guideline groups that there are multiple acceptable colorectal cancer screening strategies (including colonoscopy). The article shows which recommended strategies are also cost-effective given a range of willingness to pay per life-year gained. The set of cost-effective strategies includes tests that primarily detect cancer early (annual sensitive fecal occult blood tests [FOBTs]; either guaiac or fecal immunochemical tests, but not Hemoccult II), as well as those that can prevent colorectal cancer (flexible sigmoidoscopy every 5 years with a frequent sensitive FOBT [but not flexible sigmoidoscopy as a standalone test], and colonoscopy). Computed tomographic colonography was not a cost-effective strategy. Stool DNA testing was not assessed in the analysis for this article. © 2010 Elsevier Inc.
Keywords: review; sensitivity and specificity; clinical practice; colorectal cancer; bleeding; cancer screening; health care policy; cost effectiveness analysis; health care cost; reimbursement; colonoscopy; colon perforation; polypectomy; cost-effectiveness analysis; sigmoidoscopy; occult blood; computed tomographic colonography; guaiac; colorectal cancer screening; anesthesia; barium enema; comparative effectiveness research; efficient frontier
Journal Title: Gastrointestinal Endoscopy Clinics of North America
Volume: 20
Issue: 4
ISSN: 1052-5157
Publisher: W.B. Saunders Co.  
Date Published: 2010-10-01
Start Page: 751
End Page: 770
Language: English
DOI: 10.1016/j.giec.2010.07.008
PROVIDER: scopus
PUBMED: 20889076
PMCID: PMC4145837
DOI/URL:
Notes: --- - "Export Date: 20 April 2011" - "CODEN: GECNE" - "Source: Scopus"
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Ann G Zauber
    314 Zauber