Radlberger, P. and Zechmeister, I. (2010): Screening for Colorectal Cancer. Part 2: Health economic evaluations and developments of costs. HTA-Projektbericht 41b.
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Together with report 41a this study is a decision support document on the introduction of a colon cancer screening.
The systematic review analyses available relevant evidence of systematic reviews and single studies on health economic evaluations and gives an overview on cost-offset, cost structures and mutual dependency of cost elements in colon cancer screening programs.
With amounts of about €10.000,- to €20.000,- per life year gained cost-effectiveness-ratios of the considered screening strategies (colonoscopy, flexible sigmoidoscopy and fecal occult blood tests) seem to be acceptable compared to no screening. Some unrealistic assumptions about rates of adherence or sensitivity and specificity are most important limitations. Cost planning in screenings mostly are done in three phases. Depending on the screening in questions there are certain key factors described that have important impacts on development of overall costs.
Based on the evidence available the implantation of a colon cancer screening for an average risk population older than 50 years seems justified under a cost-effectiveness-perspective, as long as a quality assurance is guaranteed.
|Item Type:||Project Report|
|Keywords:||Colon cancer, Screening, Cost-effectiveness, health economic evaluation, cost-offset|
|Subjects:||WA Public health > WA 108-245 Preventive medicine|
WB Practice of medicine > WB 141-293 Diagnosis
W Health professions > W 74-80 Medical economics. Health care costs
QZ Pathology > QZ 200-380 Neoplasms.Cysts
WI Digestive system > WI 400-560 Intestines
|Series Name:||HTA-Projektbericht 41b|
|Deposited on:||25 Mar 2010 15:00|
|Last Modified:||09 Dec 2010 12:01|
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