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 immunological fecal occult blood test were found to be the most cost-effective.
Mots-clés Pascal : Tumeur maligne, Côlon, Rectum, Programme sanitaire, Dépistage, Prévention, Analyse coût efficacité, Economie santé, Homme, Japon, Asie
Mots-clés Pascal anglais : Malignant tumor, Colon, Rectum, Sanitary program, Medical screening, Prevention, Cost efficiency analysis, Health economy, Human, Japan, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0591817
Code Inist : 002B13B01. Création : 09/06/1995.