Abstract
Screening colonoscopies for colorectal cancer (CRC) are typically covered without patient cost-sharing, whereas follow-up colonoscopies for positive stool-based screening tests often incur patient costs. The objective of this analysis was to estimate and compare the life-years gained (LYG) per average-risk screening colonoscopy and follow-up colonoscopy after a positive stool-based test to better inform CRC coverage policy and reimbursement decisions. CRC outcomes from screening and follow-up colonoscopies versus no screening were estimated using CRC-AIM in a simulated population of average-risk individuals screened between ages 45–75 years. The LYG/colonoscopy per 1000 individuals was 0.09 for screening colonoscopy and 0.29 for follow-up colonoscopy. 0.01 and 0.04 CRC cases and 0.01 and 0.02 CRC deaths were averted per screening and follow-up colonoscopies, respectively. Coverage policies should be revised to encourage individuals to complete recommended screening processes.
Original language | English (US) |
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Article number | 101701 |
Journal | Preventive Medicine Reports |
Volume | 26 |
DOIs | |
State | Published - Apr 2022 |
Keywords
- Adenoma
- Colonoscopy
- Colorectal cancer
- Life-years gained
- Screening
- Simulation model
- Stool-based test
ASJC Scopus subject areas
- Epidemiology
- Public Health, Environmental and Occupational Health