Screening for colorectal cancer in a high-risk population

Eddy, David M.; Nugent, F. Warren; Eddy, Judy F.; Coller, John A.; Gilbertsen, Victor A.; Gottlieb, Leonard S.; Rice, Reed P.; Sherlock, Paul; Winawer, Sidney J.

doi:10.1016/0016-5085(87)90018-7

Cited by 196 publications

(62 citation statements)

References 37 publications

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“…The results of cost-effectiveness analyses on colorectal cancer in the United States (Barry et al 1987 ;Eddy et al 1987) were different from the present study, and they both concluded that BE alone strategy was the most cost-effective method for workup. This difference is attributable mainly to the difference in the costs of BE and TCF in the two countries.…”

Section: Discussioncontrasting

confidence: 99%

“…This difference is attributable mainly to the difference in the costs of BE and TCF in the two countries. The cost of TCF was estimated to be 2.5 times (Eddy et al 1987) and 2.6 times (Barry et al 1987) more expensive than that of BE while it was 1.3 times higher in our study. Barry et al admitted that endoscopic charges were overvalued in the United States, and that TCF alone strategy competed with BE alone when the cost of TCF was lowered by 15%.…”

Section: Discussioncontrasting

confidence: 47%

“…Namiki reported that the incidence of colon perforation due to TCF was 0.04% but presented no data for SIG. According to the reports in the United States (Barry et al 1987 ; Eddy et al 1987) and in Japan (Takemoto and Harima 1987), its probability by SIG ranged from 1/13 to 1/3 of that by TCF. In this analysis, we assumed it to be 1/5, that is, 0.008%.…”

Section: Data Resourcementioning

confidence: 99%

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Cost-Effectiveness Analysis of Screening for Colorectal Cancer in Japan.

Tsuji

Fukao

Shoji³

et al. 1991

Tohoku J. Exp. Med.

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To clarify the best cost-effective screening strategy for colorectal cancer in Japan, the cost-effectiveness ratio was compared among six currently performed procedures. The analysis was made using a simulation model to estimate long-term cost and effectiveness of the screening programs. In the screening by the immunological fecal occult blood test (FOBT), a comparison between the one-and two-day fecal collection methods indicated that the latter was more cost-effective than the former. A comparison was also made on the four workup methods : barium enema (BE) alone, a combination of BE and sigmoidoscopy (BE +SIG), total colonoscopy (TCF) alone, and a combination of BE and TCF (BE +TCF). The cost-effectiveness ratio was the lowest in the method using TCF alone, followed by those based on BE alone and BE + TCF, and the highest in the BE + SIG method. The superiority of TCF alone strategy was stable over a range of estimates such as the sensitivity of diagnostic tests, the probability of complications due to TCF, etc. It is concluded that a combination of the two-day FOBT and TCF yields the best costeffectiveness, cost-effectiveness analysis ; colorectal cancer screening ; simulation study

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 47%

Section: Data Resourcementioning

confidence: 99%

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Cost-Effectiveness Analysis of Screening for Colorectal Cancer in Japan.

Tsuji

Fukao

Shoji³

et al. 1991

Tohoku J. Exp. Med.

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“…Meanwhile, DCBE is safer but there is a lack of therapeutic modality. Interestingly, a mathematical model suggested that DCBE could be the most cost-effective screening tool for highrisk individuals such as those with a family history of CRC (Eddy et al, 1987). For our stand point of view in CRC screening, a diagnostic yield of advanced colorectal neoplasm detected during screening process in Thai people was relatively low; 0.7% for advanced adenoma and 0.4% for CRC in the present study of screening DCBE, and 2.7% for advanced adenoma and 0.6% for CRC in screening colonoscopy (Aswakul et al, 2011).…”

Section: 1273 Colorectal Cancer Screening By Double Contrast Barium mentioning

confidence: 99%

Colorectal Cancer Screening by Double Contrast Barium Enema in Thai People

Lohsiriwat

Prapasrivorakul²,

Suthikeeree³

2012

Asian Pacific Journal of Cancer Prevention

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“…MODELS OF COST EFFECTIVENESS In a mathematical model, Eddy et al (3) calculated that an annual fecal occult blood test in people older than 40 years In an attempt to determine the most cost effective strategy for the work-up of a positive fecal occult blood test, Barry and colleagues (4) applied a decision analysis model examining seven strategies. Rigid or flexible sigmoidoscopy alone was insensitive but had a high cos• effectiveness ratio.…”

mentioning

confidence: 99%

Screening by Colonoscopy - Has the Time Arrived?

Hunt

1990

Canadian Journal of Gastroenterology

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Colorectal cancer mortality may be reduced by several screening strategies -mathematical modelling suggests that mortality may be reduced by one-third in patients over the age of 40 years who undergo annual fecal occult blood testing. Similar modelling suggests that either colonoscopy or barium enema may reduce mortality by up to 85%. This paper reviews the evidence for different screening approaches for colorectal cancer, and identifies high risk groups in whom full colonoscopy has been studied. These studies include patients with first degree relatives with colorectal cancer, family cancer syndrome, prior breast, uterine or ovarian lesions, and follow-up for prior adenomatous polyps or cancer. The role of colonoscopy in the surveillance of patients with chronic total ulcerative colitis for dysplasia is also reviewed. The implications for patient management and possible clinical strategies are discussed. Can J Gastroenterol 1990;4(9):527-432 Depistage par colonoscopie -Le moment est~il arrive? RESUME: Plusieurs strategies de depistage permettent de reduire la morcalite pour cancer recrn-colique -les modeles mathematiques suggerent que la mortalite peut etre diminuee d'un tiers chez les patients ages de plus de 40 ans qui subissent annuellement des tests de depistage du sang occultc clans lcs selles. Des modeles similaires suggerent que la colonoscopie ou le lavement baryte permet une reduction pouvant atteindre 85 %. Le present article examine les diverses methodes de depistage du cancer recto-colique et definit les groupes a haut risque pour qui la colonoscopie complete a ete etudiee (patients dont un parent proche est porteur de cancer recto-colique, syndrome de cancer familial, antecedents de cancer du sein, de !'uterus ou des ovaires; suivi des patients ayant eu des antecedents de polypes adenomateux ou de cancer). La surveillance colonoscopique a la recherche de dysplasie des cas de colite ulcereuse chronique a forme pancolique est egalement examinee. Les implications de la prise en charge et les strategies cliniques possibles sont egalement proposees.

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Screening for colorectal cancer in a high-risk population

Cited by 196 publications

References 37 publications

Cost-Effectiveness Analysis of Screening for Colorectal Cancer in Japan.

Cost-Effectiveness Analysis of Screening for Colorectal Cancer in Japan.

Colorectal Cancer Screening by Double Contrast Barium Enema in Thai People

Screening by Colonoscopy - Has the Time Arrived?

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