Cost-utility analysis of colonoscopy or faecal immunochemical test for population-based organised colorectal cancer screening

United European Gastroenterology Journal
Miguel AreiaMário Dinis-Ribeiro

Abstract

Organised programmes for colorectal cancer screening demand a high burden of medical and economic resources. The preferred methods are the faecal immunochemical test and primary colonoscopy. The purpose of this study was to perform an economic analysis and comparison between these tests in Europe. We used a Markov cost-utility analysis from a societal perspective comparing biennial faecal immunochemical test or colonoscopy every 10 years screening versus non-screening in Portugal. The population was screened, aged from 50-74 years, and efficacy was evaluated in quality-adjusted life years. For the base-case scenario, the faecal immunochemical test cost was €3 with 50% acceptance and colonoscopy cost was €397 with 38% acceptance. The threshold was set at €39,760/quality-adjusted life years and the primary outcome was the incremental cost-effectiveness ratio. Screening by biennial faecal immunochemical test and primary colonoscopy every 10 years resulted in incremental utilities of 0.00151 quality-adjusted life years and 0.00185 quality-adjusted life years at additional costs of €4 and €191, respectively. The faecal immunochemical test was the most cost-effective option providing an incremental cost-effectiveness ratio of €2694/q...Continue Reading

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Citations

May 18, 2020·Journal of the American Medical Informatics Association : JAMIA·Heather SmithCraig Kuziemsky
Jul 28, 2019·Molecular Genetics & Genomic Medicine·Amber P GemmellTheodora S Ross
Nov 9, 2019·United European Gastroenterology Journal·Armin KuellmerArthur Schmidt
Oct 5, 2021·GE Portuguese Journal of Gastroenterology·Pedro CurraisAntónio Dias Pereira

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