Details:

Alternative Title:
Eval Program Plann
Publisher's site:
http://dx.doi.org/10.1016/j.evalprogplan.2017.02.007
Personal Author:
Subramanian, Sujha ; Tangka, Florence K.L. ; Hoover, Sonja ; Royalty, Janet ; DeGroff, Amy ; ... More +
Subramanian, Sujha ; Tangka, Florence K.L. ; Hoover, Sonja ; Royalty, Janet ; DeGroff, Amy ; Joseph, Djenaba Less -
Description:
We assess annual costs of screening provision activities implemented by 23 of the Centers for Disease Control and Prevention's Colorectal Cancer Control Program (CRCCP) grantees and report differences in costs between colonoscopy and FOBT/FIT-based screening programs. We analysed annual cost data for the first three years of the CRCCP (July 2009-June 2011) for each screening provision activity and categorized them into clinical and non-clinical screening provision activities. The largest cost components for both colonoscopy and FOBT/FIT-based programs were screening and diagnostic services, program management, and data collection and tracking. During the first 3 years of the CRCCP, the average annual clinical cost for screening and diagnostic services per person served was $1150 for colonoscopy programs, compared to $304 for FIT/FOBT-based programs. Overall, FOBT/FIT-based programs appear to have slightly higher non-clinical costs per person served (average $1018; median $838) than colonoscopy programs (average $980; median $686). Colonoscopy-based CRCCP programs have higher clinical costs than FOBT/FIT-based programs during the 3-year study timeframe (translating into fewer people screened). Non-clinical costs for both approaches are similar and substantial. Future studies of the cost-effectiveness of colorectal cancer screening initiatives should consider both clinical and non-clinical costs.
Subject:
[+]
Article
Colonoscopy
Colorectal Neoplasms
Cost-Benefit Analysis
Early Detection Of Cancer
Humans
Occult Blood
Program Evaluation

Source:
Eval Program Plann. 62:73-80.
Pubmed ID:
28190597
Pubmed Central ID:
PMC5863533
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Name as Subject:
Centers for Disease Control and Prevention (U.S.)
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:c3be14c6636045b6e691d5e84cbce0314ccdfaa575737f96c6c3ab602ff6ea92
File Type:

Supporting Files

• 	nihms948944.nxml	xml
  	nihms948944f1.gif	gif
  	nihms948944f1.jpg	jpeg
  	nihms948944f2.gif	gif
  	nihms948944f2.jpg	jpeg
  	nihms948944f3.gif	gif
  	nihms948944f3.jpg	jpeg

More +