Economic evaluation of colorectal cancer (CRC) screening

被引:19
|
作者
Cruzado, Jose [1 ]
Sanchez, Fernando I. [2 ]
Maria Abellan, Jose [2 ]
Perez-Riquelme, Francisco [3 ]
Carballo, Fernando [4 ]
机构
[1] Serv Murciano Salud, Inst Murciano Invest Biosanitaria, Colorectal Canc Prevent Program Reg Murcia, Murcia, Spain
[2] Univ Murcia, Appl Econ Dept, Hlth Econ Working Grp, Murcia, Spain
[3] Consejeria Sanidad & Polit Social, Colorectal Canc Prevent Program Reg Murcia, Inst Murciano Invest Biosanitaria, Direcc Gen Salud Publ, Murcia, Spain
[4] Univ Murcia, Unidad Gest Clin Digest, Hosp Clin Univ Virgen de la Arrixaca, Inst Murciano Invest Biosanitaria, Murcia, Spain
关键词
Cost-effectiveness; Cost-utility analysis; Mass screening; Colorectal neoplasm; FECAL-OCCULT-BLOOD; COST-EFFECTIVENESS ANALYSIS; RANDOMIZED CONTROLLED-TRIAL; FLEXIBLE SIGMOIDOSCOPY; IMMUNOCHEMICAL TEST; STOOL DNA; COLONOSCOPIC POLYPECTOMY; VIRTUAL COLONOSCOPY; ASYMPTOMATIC ADULTS; FOLLOW-UP;
D O I
10.1016/j.bpg.2013.09.004
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Because of its incidence and mortality colorectal cancer represents a serious public health issue in industrial countries. In order to reduce its social impact a number of screening strategies have been implemented, which allow an early diagnosis and treatment. These basically include faecal tests and studies that directly explore the colon and rectum. No strategy, whether alone or combined, has proven definitively more effective than the rest, but any such strategy is better than no screening at all. Selecting the most efficient strategy for inclusion in a population-wide program is an uncertain choice. Here we review the evidence available on the various economic evaluations, and conclude that no single method has been clearly identified as most cost-effective; further research in this setting is needed once common economic evaluation standards are established in order to alleviate the methodological heterogeneity prevailing in study results. (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:867 / 880
页数:14
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