Racial and ethnic colorectal cancer patterns affect the cost-effectiveness of colorectal cancer screening in the United States.
Gastroenterology
; 120(4): 848-56, 2001 Mar.
Article
en En
| MEDLINE
| ID: mdl-11231939
ABSTRACT
BACKGROUND & AIMS:
Colorectal cancer screening beginning at age 50 is recommended for all Americans considered at "average" risk for the development of colorectal cancer.METHODS:
We used 1988-1995 California Cancer Registry data to compare the cost-effectiveness of two 35-year colorectal cancer screening interventions among Asians, blacks, Latinos, and Whites.RESULTS:
Average annual age-specific colorectal cancer incidence rates were highest in blacks and lowest in Latinos. Screening beginning at age 50 was most cost-effective in blacks and least cost-effective in Latinos (measured as dollars spent per year of life saved), using annual fecal occult blood testing (FOBT) combined with flexible sigmoidoscopy every 5 years and using colonoscopy every 10 years. A 35-year screening program beginning in blacks at age 42, whites at age 44, or Asians at age 46 was more cost-effective than screening Latinos beginning at age 50.CONCLUSIONS:
Colorectal cancer screening programs beginning at age 50, using either FOBT and flexible sigmoidoscopy or colonoscopy in each racial or ethnic group, are within the $40,000-$60,000 per year of life saved upper cost limit considered acceptable for preventive strategies. Screening is most cost-effective in blacks because of high age-specific colorectal cancer incidence rates.
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Base de datos:
MEDLINE
Asunto principal:
Neoplasias Colorrectales
/
Tamizaje Masivo
Tipo de estudio:
Diagnostic_studies
/
Health_economic_evaluation
/
Prognostic_studies
/
Screening_studies
Límite:
Adult
/
Aged
/
Aged80
/
Humans
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Gastroenterology
Año:
2001
Tipo del documento:
Article
País de afiliación:
Estados Unidos