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)....

Descripción completa

Detalles Bibliográficos
Autores principales: Sekiguchi, Masau, Matsuda, Takahisa, Tamai, Naoto, Sakamoto, Taku, Nakajima, Takeshi, Otake, Yosuke, Kakugawa, Yasuo, Murakami, Yoshitaka, Saito, Yutaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
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
_version_ 1782222034358501376
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
work_keys_str_mv AT sekiguchimasau costeffectivenessoftotalcolonoscopyinscreeningofcolorectalcancerinjapan
AT matsudatakahisa costeffectivenessoftotalcolonoscopyinscreeningofcolorectalcancerinjapan
AT tamainaoto costeffectivenessoftotalcolonoscopyinscreeningofcolorectalcancerinjapan
AT sakamototaku costeffectivenessoftotalcolonoscopyinscreeningofcolorectalcancerinjapan
AT nakajimatakeshi costeffectivenessoftotalcolonoscopyinscreeningofcolorectalcancerinjapan
AT otakeyosuke costeffectivenessoftotalcolonoscopyinscreeningofcolorectalcancerinjapan
AT kakugawayasuo costeffectivenessoftotalcolonoscopyinscreeningofcolorectalcancerinjapan
AT murakamiyoshitaka costeffectivenessoftotalcolonoscopyinscreeningofcolorectalcancerinjapan
AT saitoyutaka costeffectivenessoftotalcolonoscopyinscreeningofcolorectalcancerinjapan