Estimation of Cost for Endoscopic Screening for Esophageal Cancer in a High-Risk Population in Rural China: Results from a Population-Level Randomized Controlled Trial

PharmacoEconomics
Fuxiao LiYang Ke

Abstract

Population-level endoscopic screening for esophageal cancer has been conducted in China for years. In this study, we aim to provide an updated and precise cost estimation for esophageal cancer screening based on a randomized controlled trial in a high-risk area in China. We estimated the cost of esophageal cancer screening with chromoendoscopy using a micro-costing approach based on primary data of the ESECC (Endoscopic Screening for Esophageal Cancer in China) randomized controlled trial (NCT01688908) from a health sector perspective. Unit costs and quantities of resources were collected to obtain annual screening costs. The screening project was then theoretically expanded to a 10-year period to explore long-term trends of costs. Costs were adjusted to US dollars for the year 2018. In the ESECC trial, screening cost per endoscopy with a valid pathologic diagnosis was $196, accounting for 3.82% of the gross domestic product per capita in Hua County, and the costs for detecting one esophageal cancer and one early-stage esophageal cancer were $26,347 and $37,687, respectively. In conventional screening in which protocol-driven costs were excluded, costs as above were $134, $18,074, and $25,853. The cost for detecting one gastric...Continue Reading

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References

Jan 1, 1982·Annals of Internal Medicine·S A Finkler
Oct 25, 2002·International Journal of Cancer. Journal International Du Cancer·Li Ke
Mar 12, 2005·CA: a Cancer Journal for Clinicians·D Max ParkinPaola Pisani
Jun 19, 2009·Medical Care·Kevin D Frick
Jan 13, 2010·World Journal of Gastroenterology : WJG·Hoo-Yeon LeeMyung-Il Hahm
Apr 1, 2011·Journal of the American Medical Directors Association·Rafael Samper-TernentSoham Al Snih
May 25, 2011·Journal of the National Cancer Institute·C Martin TammemagiPhilip C Prorok
Nov 22, 2011·Expert Review of Pharmacoeconomics & Outcomes Research·Afschin Gandjour
Mar 30, 2013·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Don HusereauUNKNOWN ISPOR Health Economic Evaluation Publication Guidelines-CHEERS Good Reporting Practices Task Force
Nov 5, 2013·Best Practice & Research. Clinical Gastroenterology·Louisa G Gordon, George C Mayne
Dec 25, 2015·Healthcare : the Journal of Delivery Science and Innovation·Julia D BattleMarc Mitchell
Jul 12, 2016·JAMA Internal Medicine·Anupam B JenaDaniel M Blumenthal
Nov 4, 2016·Nature Reviews. Gastroenterology & Hepatology·Jayan Mannath, Krish Ragunath
Mar 2, 2017·International Journal of Cancer. Journal International Du Cancer·Marianne WeberKaren Canfell
Mar 28, 2017·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Mengfei LiuYang Ke
Apr 27, 2017·Cancer Biology & Medicine·He LiangYou-Lin Qiao
May 14, 2017·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Sonya CressmanStephen Lam
May 28, 2017·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Shota SaitoKouhei Akazawa

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