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Cost benefit of early diagnosis of colorectal cancer.

Cost benefit of early diagnosis of colorectal cancer. Research Abstract Details 

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  • Cost benefit of early diagnosis of colorectal cancer. Abstract Text:

    t d bolinT D Bolin,

    In most Western countries, colorectal cancer is an important disease in terms of morbidity and mortality. As it has a premalignant asymptomatic stage in the form of benign adenomas that might be detected by screening, and as screening leads to detection of colorectal cancer at an earlier stage, there is potential for improved and better quality survival. Most cost-effective analyses rank the various screening strategies at less than an accepted benchmark value of approximately $40,000 per added year of life. Periodic colorectal screening is therefore a cost-effective intervention and the Office of Technology Assessment of the Congress of the United States has concluded that colorectal cancer screening in average-risk adults beginning at age 50 is a relatively good investment for society. Flexible sigmoidoscopy and double contrast barium enema are the most cost-effective strategies but they both require colonoscopy if a lesion is identified. Colonoscopy at 10-yearly intervals is of comparable cost to flexible sigmoidoscopy every 5 years and less costly than FSIG every 3 years. Combination strategies, using faecal occult blood testing with periodic flexible sigmoidoscopy or double contrast barium enema are as costly as colonoscopy. The choice of screening strategies needs to be tailored to the individual, and a process of community education is an essential prerequisite to the success of any programme.

    Cost benefit of early diagnosis of colorectal cancer. Publishing Authors By Initials

    td bolinTD Bolin,

    For similar diagnosis: diagnostic techniques and procedures: mass screening research abstracts see: diagnosis: diagnostic techniques and procedures: mass screening research

    PUBMED ID PMID:

    MEDLINE DATE:

    Cost benefit of early diagnosis of colorectal cancer. Journal Published:

    PUBLICATION TYPE: Review

    Journal: Scandinavian journal of gastroenterology. Suppleme

    VOLUME: 220

    Page Numbers: 142-6

    Journal Abbreviation: Scand. J. Gastroenterol. Suppl

    ISSN: 0085-5928

    DAY: 13

    MONTH: 02

    YEAR: 1996

    Cost benefit of early diagnosis of colorectal cancer. Information

    Number of References: 33

    LANGUAGE: eng

    NlmUniqueID: 437034

    Cost benefit of early diagnosis of colorectal cancer. Keywords Mesh Terms:

    KEYWORDS: Mass Screening

    MESH TERMS: economics

    Chemical & Substance for Abstract: Cost benefit of early diagnosis of colorectal cancer. Information

    Substance Name: Barium Sulfate

    Registry Number: 7727-43-7

    Grant and Affiliation Information for Cost benefit of early diagnosis of colorectal cancer.

    AFFILIATION: Gastrointestinal Unit, Prince of Wales Hospital, Randwick NSW, Sydney, Australia.

    Country: NORWAY

    NORWAY Research PublicationNORWAY Research Publication

    AGENCY:

    GRANT:

    ACRONYM:

    MEDLINETA: Scand J Gastroenterol Suppl

    REFSOURCE:

    DATABASENAME:

    ACCESSION NUMBER:

    Number Hits: 0

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