Cost analysis of colorectal cancer screening with CT colonography in Italy.
Eur J Health Econ
; 19(5): 735-746, 2018 Jun.
Article
em En
| MEDLINE
| ID: mdl-28681075
ABSTRACT
OBJECTIVE:
Unit costs of screening CT colonography (CTC) can be useful for cost-effectiveness analyses and for health care decision-making. We evaluated the unit costs of CTC as a primary screening test for colorectal cancer in the setting of a randomized trial in Italy.METHODS:
Data were collected within the randomized SAVE trial. Subjects were invited to screening CTC by mail and requested to have a pre-examination consultation. CTCs were performed with 64- and 128-slice CT scanners after reduced or full bowel preparation. Activity-based costing was used to determine unit costs per-process, per-participant to screening CTC, and per-subject with advanced neoplasia.RESULTS:
Among 5242 subjects invited to undergo screening CTC, 1312 had pre-examination consultation and 1286 ultimately underwent CTC. Among 129 subjects with a positive CTC, 126 underwent assessment colonoscopy and 67 were ultimately diagnosed with advanced neoplasia (i.e., cancer or advanced adenoma). Cost per-participant of the entire screening CTC pathway was 196.80. Average cost per-participant for the screening invitation process was 17.04 and 9.45 for the pre-examination consultation process. Average cost per-participant of the CTC execution and reading process was 146.08 and of the diagnostic assessment colonoscopy process was 24.23. Average cost per-subject with advanced neoplasia was 3777.30.CONCLUSIONS:
Cost of screening CTC was 196.80 per-participant. Our data suggest that the more relevant cost of screening CTC, amenable of intervention, is related to CTC execution and reading process.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Problema de saúde:
1_financiamento_saude
/
2_muertes_prematuras_enfermedades_notrasmisibles
Assunto principal:
Neoplasias Colorretais
/
Colonoscopia
/
Colonografia Tomográfica Computadorizada
/
Detecção Precoce de Câncer
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Health_economic_evaluation
/
Prognostic_studies
/
Screening_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Eur J Health Econ
Assunto da revista:
SAUDE PUBLICA
/
SERVICOS DE SAUDE
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Itália