Cost-Effectiveness of Total Colonoscopy in Screening of Colorectal Cancer in Japan
Introduction. In Japan, the cost-effectiveness of total colonoscopy (TCS) for primary screening of colorectal cancer (CRC) is unclear. We compared the cost of identifying a patient with CRC using two primary screening strategies: TCS (strategy 1) and the immunochemical fecal test (FIT) (strategy 2)....
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Hindawi Publishing Corporation
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3265074/ https://www.ncbi.nlm.nih.gov/pubmed/22291697 http://dx.doi.org/10.1155/2012/728454 |
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author | Sekiguchi, Masau Matsuda, Takahisa Tamai, Naoto Sakamoto, Taku Nakajima, Takeshi Otake, Yosuke Kakugawa, Yasuo Murakami, Yoshitaka Saito, Yutaka |
author_facet | Sekiguchi, Masau Matsuda, Takahisa Tamai, Naoto Sakamoto, Taku Nakajima, Takeshi Otake, Yosuke Kakugawa, Yasuo Murakami, Yoshitaka Saito, Yutaka |
author_sort | Sekiguchi, Masau |
collection | PubMed |
description | Introduction. In Japan, the cost-effectiveness of total colonoscopy (TCS) for primary screening of colorectal cancer (CRC) is unclear. We compared the cost of identifying a patient with CRC using two primary screening strategies: TCS (strategy 1) and the immunochemical fecal test (FIT) (strategy 2). Materials and Methods. We retrospectively analyzed the TCS screening database at our institution from February 2004 to August 2010 (strategy 1, n = 15,348) and the Japanese nationwide survey of CRC screening in 2008 (strategy 2, n = 5,267,443). Results. 112 and 6,838 CRC cases were detected in strategies 1 and 2, costing 2,124,000 JPY and 1,629,000 JPY, respectively. The rate of earlier-stage CRC was higher in strategy 1. Conclusions. The cost was higher using TCS as a primary screening procedure. However, the difference was not excessive, and considering the increased rate of detecting earlier CRC, the use of TCS as a primary screening tool may be cost-effective. |
format | Online Article Text |
id | pubmed-3265074 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-32650742012-01-30 Cost-Effectiveness of Total Colonoscopy in Screening of Colorectal Cancer in Japan Sekiguchi, Masau Matsuda, Takahisa Tamai, Naoto Sakamoto, Taku Nakajima, Takeshi Otake, Yosuke Kakugawa, Yasuo Murakami, Yoshitaka Saito, Yutaka Gastroenterol Res Pract Clinical Study Introduction. In Japan, the cost-effectiveness of total colonoscopy (TCS) for primary screening of colorectal cancer (CRC) is unclear. We compared the cost of identifying a patient with CRC using two primary screening strategies: TCS (strategy 1) and the immunochemical fecal test (FIT) (strategy 2). Materials and Methods. We retrospectively analyzed the TCS screening database at our institution from February 2004 to August 2010 (strategy 1, n = 15,348) and the Japanese nationwide survey of CRC screening in 2008 (strategy 2, n = 5,267,443). Results. 112 and 6,838 CRC cases were detected in strategies 1 and 2, costing 2,124,000 JPY and 1,629,000 JPY, respectively. The rate of earlier-stage CRC was higher in strategy 1. Conclusions. The cost was higher using TCS as a primary screening procedure. However, the difference was not excessive, and considering the increased rate of detecting earlier CRC, the use of TCS as a primary screening tool may be cost-effective. Hindawi Publishing Corporation 2012 2012-01-12 /pmc/articles/PMC3265074/ /pubmed/22291697 http://dx.doi.org/10.1155/2012/728454 Text en Copyright © 2012 Masau Sekiguchi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Sekiguchi, Masau Matsuda, Takahisa Tamai, Naoto Sakamoto, Taku Nakajima, Takeshi Otake, Yosuke Kakugawa, Yasuo Murakami, Yoshitaka Saito, Yutaka Cost-Effectiveness of Total Colonoscopy in Screening of Colorectal Cancer in Japan |
title | Cost-Effectiveness of Total Colonoscopy in Screening of Colorectal Cancer in Japan |
title_full | Cost-Effectiveness of Total Colonoscopy in Screening of Colorectal Cancer in Japan |
title_fullStr | Cost-Effectiveness of Total Colonoscopy in Screening of Colorectal Cancer in Japan |
title_full_unstemmed | Cost-Effectiveness of Total Colonoscopy in Screening of Colorectal Cancer in Japan |
title_short | Cost-Effectiveness of Total Colonoscopy in Screening of Colorectal Cancer in Japan |
title_sort | cost-effectiveness of total colonoscopy in screening of colorectal cancer in japan |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3265074/ https://www.ncbi.nlm.nih.gov/pubmed/22291697 http://dx.doi.org/10.1155/2012/728454 |
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