Cost‐effectiveness of high‐sensitivity faecal immunochemical test and colonoscopy screening for colorectal cancer.
Published: 31st May 2017
Authors: M. Aronsson, P. Carlsson, L.‐Å. Levin, J. Hager, R. Hultcrantz
Colorectal cancer screening can decrease morbidity and mortality. However, there are widespread differences in the implementation of programmes and choice of strategy. The primary objective of this study was to estimate lifelong costs and health outcomes of two of the currently most preferred methods of screening for colorectal cancer: colonoscopy and sensitive faecal immunochemical test (
A cost‐effectiveness analysis of colorectal cancer screening in a Swedish population was performed using a decision analysis model, based on the design of the Screening of Swedish Colons (
For 1000 individuals invited to screening, it was estimated that screening once with colonoscopy yielded 49 more quality‐adjusted life‐years (
All screening strategies were cost‐effective compared with no screening. Repeated and single screening strategies with colonoscopy were more cost‐effective than
You may also be interested in
Clinical assessment to determine the risk of bowel cancer using Symptoms, Age, Mass and Iron deficiency anaemia (SAMI).
Authors: M. R. Thompson, D. P. O'Leary, K. Flashman, A. Asiimwe, B. G. Ellis, A. Senapati et al.
Notes: Clinical assessment can define high risk
One‐year results of the SCANDIV randomized clinical trial of laparoscopic lavage versus primary resection for acute perforated diverticulitis.
Authors: J. K. Schultz, C. Wallon, L. Blecic, H. M. Forsmo, J. Folkesson, P. Buchwald et al.
Notes: Fewer stomas with lavage
Meta‐analysis of hybrid natural‐orifice transluminal endoscopic surgery versus laparoscopic surgery. BJS 2017; 104: 977-989.
Authors: D. C. Steinemann, P. C. Müller, P. Probst, A.‐C. Schwarz, M. W. Büchler, B. P. Müller‐Stich et al.
Notes: Less pain was the only gain
Population‐based study to re‐evaluate optimal lymph node yield in colonic cancer. BJS 2017; 104: 1087-1096.
Authors: J. C. Del Paggio, Y. Peng, X. Wei, S. Nanji, P. H. MacDonald, C. Krishnan Nair et al.
Notes: Twelve is not the magic number
Randomized clinical trial
Randomized clinical trial comparing collagen plug and advancement flap for trans‐sphincteric anal fistula.
Authors: J. Bondi, J. Avdagic, U. Karlbom, O. Hallböök, D. Kalman, J. Šaltytė Benth et al.
Notes: Plug inferior to flap
Randomized clinical trial
Randomized clinical trial of biodegradeable intraluminal sheath to prevent anastomotic leak after stapled colorectal anastomosis. BJS 2017; 104: 1010-1019.
Authors: I. S. Bakker, A. N. Morks, H. O. ten Cate Hoedemaker, J. G. M. Burgerhof, H. G. Leuvenink, J. B. van Praagh et al.
Notes: Not effective
Systematic review of pressurized intraperitoneal aerosol chemotherapy for the treatment of advanced peritoneal carcinomatosis. BJS 2017; 104: 669-678.
Authors: F. Grass, A. Vuagniaux, H. Teixeira‐Farinha, K. Lehmann, N. Demartines, M. Hübner et al.
Notes: Shows promise
Authors: J. Toh, P. H. Chapuis, L. Bokey, C. Chan, K. J. Spring, O. F. Dent et al.
Population‐based study demonstrating an increase in colorectal cancer in young patients. BJS 2017; 104: 1063-1068.
Authors: J. Gandhi, C. Davidson, C. Hall, J. Pearson, T. Eglinton, C. Wakeman et al.
Notes: Worrying trends in the under 50s
Authors: A. Dohan, C. Hoeffel, P. Soyer, A. S. Jannot, P.‐J. Valette, A. Thivolet et al.
Notes: Combination useful
Authors: C. J. Verberne, Z. Zhan, E. R. van den Heuvel, F. Oppers, A. M. de Jong, I. Grossmann et al.
Notes: Intensive follow‐up no effect on survival
Systematic review of the role of biomarkers in diagnosing anastomotic leakage following colorectal surgery. BJS 2017; 104: 503-512.
Authors: B. U. Su'a, H. L. Mikaere, J. L. Rahiri, I. B. Bissett, A. G. Hill
Notes: Limited value over clinical judgement