Clinical Costs of Colorectal Cancer Screening in 5 Federally Funded Demonstration Programs

Details

• Alternative Title:
  Cancer
• Personal Author:
  Tangka, Florence K. L. ; Subramanian, Sujha ; Beebe, Maggie C. ; Hoover, Sonja ; Royalty, Janet ; Seeff, Laura C.
• Description:
  BACKGROUND
  
  The Centers for Disease Control and Prevention initiated the Colorectal Cancer Screening Demonstration Program (CRCSDP) to explore the feasibility of establishing a large-scale colorectal cancer (CRC) screening program for underserved populations in the United States. The authors of this report assessed the clinical costs incurred at each of the 5 participating sites during the demonstration period.
  
  METHODS
  
  By using data on payments to providers by each of the 5 CRCSDP sites, the authors estimated costs for specific clinical services and overall clinical costs for each of the 2 CRC screening methods used by the sites: colonoscopy and fecal occult blood test (FOBT).
  
  RESULTS
  
  Among CRCSDP clients who were at average risk for CRC and for whom complete cost data were available, 2131 were screened by FOBT, and 1888 were screened by colonoscopy. The total average clinical cost per individual screened by FOBT (including costs for screening, diagnosis, initial surveillance, office visits, and associated clinical services averaged across all individuals who received screening FOBT) ranged from $48 in Nebraska to $149 in Greater Seattle. This compared with an average clinical cost per individual for all services related to the colonoscopy screening ranging from $654 in St. Louis to $1600 in Baltimore City.
  
  CONCLUSIONS
  
  Variations in how sites contracted with providers and in the services provided through CRCSDP affected the cost of clinical services and the complexity of collecting cost data. Health officials may find these data useful in program planning and budgeting.
  
  
• Subjects:
  Colonoscopy Colorectal Neoplasms Cost-Benefit Analysis Early Detection Of Cancer Humans Occult Blood Risk Factors
• Source:
  Cancer. 119(0 15):2863-2869.
• Pubmed ID:
  23868481
• Pubmed Central ID:
  PMC4731092
• Document Type:
  Journal Article
• Funding:
  200-2002-00575/PHS HHS/United States ; CC999999/Intramural CDC HHS/United States ; RFA AA030/AA/NIAAA NIH HHS/United States
• Name as Subject:
  Centers for Disease Control and Prevention (U.S.)
• Place as Subject:
  United States
• Volume:
  119
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:0a2dc69ff3f2dff7eb32b457943512ce5dcb1fe9a85cec762a355a0d163c706e
• Download URL:
  https://stacks.cdc.gov/view/cdc/37817/cdc_37817_DS1.pdf
• File Type:
  [PDF - 145.72 KB ]