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Cost-effectiveness Analysis of Strategies for Colorectal Cancer Screening in Japan

  • Takuro Shimbo (a1), Henry A. Glick (a2) and John M. Eisenberg (a3)
Abstract

To determine the cost-effectiveness of colorectal cancer screening strategies in Japan and to determine the influence of long-term compliance with screening programs on the selection of strategies, the natural history of a simulated cohort of 40-year-old Japanese of both genders was modeled with and without colorectal cancer screening until age 75 years. Survival, number of complications, and direct medical costs were compared among several combinations of screening examinations. In addition, the age of initiating screening was varied, as was the long-term compliance rate. Strategies using immunoiogical fecal occult blood test were found to be the most cost-effective. Immunological fecal occult blood test followed by colonoscopy, if positive, would save 24.05 (5.88 discounted) days of life and cost 28,420 yen (US $210) per screened person, thus offering a cost-effectiveness ratio of 1.765 million yen (US $13,100) per year of life saved. If long-term compliance is 100%, initiating screening at age 40 years offers more years of life saved and a low incremental cost of screening. However, if more likely dropout rates are considered, initiation at age 40 years is dominated by later initiation of screening.

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1.Abrams, J. S.A second look at colonoscopy: Indications, failures, and costs. Archives of Surgery, 1982, 117, 913–17.
2.Allison, J. E., Feldman, R., & Tekawa, I. S.Hemoccult screening in detecting colorectal neoplasm: Sensitivity, specificity, and predictive value. Annals of Internal Medicine, 1990, 112, 328–33.
3.Bang, K. M., Tillett, S., Hoar, S. K., et al. Sensitivity of fecal hemoccult testing and flexible sigmoidoscopy for colorectal cancer screening. Journal of Occupational Medicine, 1986; 28, 709–13.
4.Barry, M. J., Mulley, A. G., & Richter, J. M.Effect of workup strategy on the cost effectiveness of fecal occult blood screening for colorectal cancer. Gastroenterology, 1987, 93, 301–10.
5.Bertario, L., Spinelli, P., Gennari, L., et al. Sensitivity of Hemoccult test for large bowel cancer in high risk subjects. Digestive Diseases and Sciences, 1988, 33, 609–13.
6.Blyth, C. R., & Still, H. A.Binomial confidence intervals. Journal of the American Statistical Association, 1983, 78, 108–16.
7.Bolin, S., Franzen, L., Nilsson, E., & Sjodahl, R.Carcinoma of the colon and rectum: Tumors missed by radiologic examination in 61 patients. Cancer, 1988, 61, 1999–2008.
8.Committee of Colon Mass Screening, the Japanese Society of Gastrointestinal Tract Mass Survey. Method of mass survey for colorectal cancer. Shokaki-Shudankenshin, 1986, 71, 104 (in Japanese).
9.Committee of Colon Mass Screening, the Japanese Society of Gastrointestinal Tract Mass Survey. Method of mass survey for colorectal cancer. Shokaki-Shudankenshin, 1990, 86, 10 (in Japanese).
10.Demers, R. Y., Stawick, L. E., & Demers, P.Relative sensitivity of the fecal occult blood test and flexible sigmoidoscopy in detecting polpys. Preventive Medicine, 1985,14, 55–62.
11.Department of Statistics and Information, Japanese Ministry of Health and Welfare. The report of individual medical practice of 1987. Tokyo, Japan: Japanese Ministry of Health and Welfare, 1989 (in Japanese).
12.Division of Medicine, Department of Insurance, Japanese Ministry of Health and Welfare. Interpretation of the social insurance reimbursement table. Tokyo, Japan: Research Institute of Social Insurance, 1990, 172–73 (in Japanese).
13.Eddy, D. M.Screening for colorectal cancer. Annals of Internal Medicine, 1990, 13, 373–84.
14.Eddy, D. M., Nugent, F. W., Eddy, J. F., et al. Screening for colorectal cancer in a high risk population. Gastroenterology, 1987, 92, 682–92.
15.Evers, K., Laufer, I., Gordon, R. L., et al. Double-contrast enema examination for detection of rectal carcinoma. Radiology, 140, 635–39.
16.Farrands, P. A., Vellacott, K. D., Amar, S. S., et al. Flexible fiberoptic sigmoidoscopy and double-contrast barium-enema examination in the identification of adenoma and carcinoma of the colon. Diseases of the Colon and Rectum, 1986, 26, 727–29.
17.Feczko, P. J., & Halpert, R. D.Reassessing the role of radiology in hemoccult screening. American Journal of Radiology, 1986, 146, 697–701.
18.Fork, F.-T.Double contrast enema and colonoscopy in polyp detection. Gut, 1981, 22, 971–77.
19.Fork, F.-T., Lindstrom, C., & Ekelund, G.Double contrast examination in carcinoma of the colon and rectum. Ada Radiologica, 1983, 24, 177–88.
20.Fruhmorgan, P., & Demling, L.Complication of diagnostic and therapeutic colonoscopy in the Federal Republic of Germany: Results of an inquiry. Endoscopy, 1983, 21, 146–50.
21.Fruhmorgen, P., & Matek, W.Significance of polypectomy in the large bowel endoscopy. Endoscopy, 1983, 15, 155–57.
22.Geenan, J. E., Schmitt, M. G., Wu, W. C., & Hogan, W. J.Major complication of colonoscopy: Bleeding and perforation. Digestive Diseases, 1975, 20, 231–35.
23.Griffith, C. D. M., Turner, D. J., & Saunders, J. H.False negative results of hemoccult test in colorectal cancer. British Medical Journal, 1981, 283, 472.
24.Han, S. Y., & Tishler, J. M.Perforation of the colon above the peritoneal reflection during the barium-enema examination. Radiology, 1982, 144, 253–55.
25.Hardcastle, J. D., Armitage, N. C., Chamberlain, J., et al. Fecal occult blood screening for colorectal cancer in the general population. Cancer, 1986, 58, 397–403.
26.Hisamichi, S. Estimation of death for colon cancer in future. In The 1987 Report of Conference for Organization of Colorectal Cancer Screening. Tokyo, Japan: National Cancer Center 1988, 16–21 (in Japanese).
27.Hisamichi, S. Research for organization of colorectal cancer screening. Chairman’s review. In The 1987 Report of Conference for Organization of Colorectal Cancer Screening. Tokyo, Japan: National Cancer Center, 1988; 275–81. (in Japanese).
28.Kalra, L., & Hamlyn, A. N.Comparative evaluation of investigations for colorectal carcinoma in symptomatic patients. Postgraduate Medical Journal, 1988; 64; 666–68.
29.Kanazawa, K.Colon cancer: Precancerous lesion and risk factor. Nippon-Rinsho, 1988, 46, 366–74. (in Japanese).
30.Kelvin, F. M., Gardiner, R., Vas, W., & Stevenson, G. W.Colorectal carcinoma missed on double contrast barium enema study: A problem in perception. American Journal of Radiology, 1981, 137, 307–13.
31.Kimming, J. M., Strauch, M., & Hallen, M.Negative hemoccult test in malignant and premalignant lesions of the colon: Validation of the hemoccult test with total colonoscopy. Endoscopy, 1989, 21, 136–40.
32.Leicester, R. J., Lightfoot, A., Millar, J., et al. Accuracy and value of the Hemoccult test in symptomatic patients. British Medical Journal, 1983, 286, 673–74.
33.Macrae, F. A., John, D. J. B. S., Caligiore, P., et al. Optimal dietary conditions for Hemoccult testing. Gastroenterology, 1982, 82, 899.
34.Marks, G., Boggs, W., Castro, A. F., et al. Sigmoidoscopic examination with rigid and flexible fiberoptic sigmoidoscopy in the surgeon’s office: A comparative prospective study of effectiveness in 1012 cases. Diseases of the Colon and Rectum, 1979, 22, 162–68.
35.Mitsushima, T., Arima, N., Nagatani, K., et al. Distribution of neoplastic polyp in Japanese adults: Estimation based on five year experience of colonoscopic mass screening. I to Cho (Stomach and Intestine), 1989, 24, 147–153 (in Japanese).
36.Nelson, R. L., Abcarian, H., & Prasad, M. L.Iatrogenic perforation of the colon and rectum. Diseases of the Colon and Rectum, 1982; 25, 305–08.
37.Nivatongs, S.Complications in colonoscopic polypectomy: An experience with 1955 polypectomy. Diseases of the Colon and Rectum, 1986, 29, 825–30.
38.Norfleet, R. G.Effect of diet on fecal occult blood testing in patients with colorectal polyps. Digestive Diseases and Sciences, 1986, 31, 498–501.
39.Office of Technology Assessment. Costs and effectiveness of colorectal cancer screening in the elderly. Washington, DC: U.S. Government Printing Office, 1990.
40.Okubo, I., Glick, H. A., Frumkin, H., & Eisenberg, J. M.Cost-effectiveness analysis of mass screening for breast cancer in Japan. Cancer, 1991, 67, 2021–29.
41.Research Conference of Colon Cancer. Report from All Japan Registration of Colon Cancer, vol. 2. Tokyo, Japan: National Cancer Center, 1986, 98–101 (in Japanese).
42.Research Group for Population-Based Cancer Registration in Japan. Cancer incidence and incidence rates in Japan in 1985 – estimates based on data from seven population based cancer registries. Japanese Journal of Clinical Oncology, 1990, 20, 212–18.
43.Ribet, A., Fexinos, J., Escourrou, J., et al. Occult blood tests and colorectal tumors. Lancet, 1980, i, 417.
44.Rogers, B. H. G., Silvis, S. E., Nebel, O. T., et al. Complications of flexible fiberoptic colonoscopy and polypectomy. Gastrointestinal Endoscopy, 1975, 22, 73–77.
45.Smith, L. E.Fiberoptic colonoscopy: Complications of colonoscopy and polypectomy. Diseases of the Colon and Rectum, 1976, 19, 407–12.
46.Statistics and Information Department, Japanese Ministry of Health and Welfare. Vital Statistics. Tokyo, Japan: Japanese Ministry of Health and Welfare, 1987 (in Japanese).
47.Sugahara, N., Sato, H., Hiwatashi, N., et al. Cost-effectiveness analysis of group examination in mass survey for colorectal cancer. Shokaki-Shudankenshin, 1989, 82, 65–70 (in Japanese).
48.Tate, J. T. T., Northway, J., Royle, G. T., & Taylor, I.Evaluation of ‘DIY’ test for the detection of colorectal cancer. Journal of the Royal Society of Medicine, 1989, 82, 388–90.
49.Thoeni, R. F., & Menuck, L.Comparison of barium enema and colonoscopy in the detection of small colonic polyps. Radiology, 1977, 124, 631–35.
50.Thoeni, R. F., & Petras, A.Detection of rectal and rectosigmoid lesions by double-contrast barium enema examination and sigmoidoscopy. Radiology, 1982, 142, 59–62.
51.Traul, D. G., Davis, C. B., Pollock, J. C., & Scudamore, H. H.Flexible fiberoptic sigmoidoscopy — The Monroe Clinic experience: A prospective study of 5000 examinations. Diseases of the Colon and Rectum, 1982, 26, 161–66.
52.Tsuji, I., Fukao, A., Shoji, T., et al. Cost-effectiveness analysis of screening for colon cancer in Japan. Tahoku Journal of Experimental Medicine, 1991, 164, 269–78.
53.Williams, C. B., Macrae, F. A., & Bartram, C. I.A prospective study of diagnostic methods in adenoma follow-up. Endoscopy, 1982, 14, 74–78.
54.Williams, J. A. R., Hunter, R., Coles, M. E., et al. An assessment of an immunochemical test for human hemoglobin in the detection of colonic polyp. Australian and New Zealand Journal of Surgery, 1985, 55, 485–88.
55.Winawer, S. J., Andrews, M., Flehinger, B., et al. Progress report on controlled trial of fecal occult blood testing for the detection of colorectal neoplasia. Cancer, 1980, 45; 2959–64.
56.Yoshida, Y.Review on Internal Medicine (1987). Recent progress in diagnosis and treatment of digestive disease. Journal of the Society of Internal Medicine of Japan, 1988, 77, 1671–74 (in Japanese).
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International Journal of Technology Assessment in Health Care
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  • EISSN: 1471-6348
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