What is the most cost-effective strategy to screen for second primary colorectal cancers in male cancer survivors in Korea?

doi:10.3748/wjg.15.3153

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Jul 7, 2009; 15(25): 3153-3160
Published online Jul 7, 2009. doi: 10.3748/wjg.15.3153

Table 2 Cost-effectiveness of colorectal screening strategies among male cancer survivors and the general population in Korea (80% compliance)

Male general population				Male cancer survivors
Strategy (abreviation)	Lifetime cost per person (dollar)¹	Life expectancy (yr)	Incremental C/E², dollar¹ per life-year gained	Strategy (abreviation)	Lifetime cost per person (dollar)¹	Life expectancy (yr)	Incremental C/E², dollar¹ per life-year gained
COL every 10 yr	437.3	17.260	…	COL every 5 yr	463.5	7.572
No screening	448.0	17.243	…	COL every 10 yr	480.1	7.568	…
COL every 5 yr	478.3	17.263	14 456.8	COL every 3 yr	480.2	7.575	5592.9
DCBE every 5 yr	542.3	17.256	…	DCBE every 5 yr	563.4	7.562	…
SIG every 5 yr	542.4	17.255	…	SIG every 5 yr	571.8	7.560	…
COL every 3 yr	554.4	17.265	38 876.8	No screening	632.2	7.544	…
FOBT every 2 yr	810.0	17.252	…	FOBT every 2 yr	735.2	7.557	…
FOBT every 1 yr	1130.9	17.257	…	FOBT every 1 yr	842.3	7.564	…

COL: Colonoscopy; SIG: Sigmoidoscopy; DCBE: Double contrast barium enema; FOBT: Fecal occult blood test. Ellipse indicates no data (incremental CR ratios not calculated for these strategies because they were dominated).

¹Exchange rate, 955 Korean Won for one US dollar in 2006;

²Incremental CE ratio (dollar/year) = Incremental cost per person/incremental years of life gained.

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Citation: Park SM, Kim SY, Earle CC, Jeong SY, Yun YH. What is the most cost-effective strategy to screen for second primary colorectal cancers in male cancer survivors in Korea? World J Gastroenterol 2009; 15(25): 3153-3160
URL: https://www.wjgnet.com/1007-9327/full/v15/i25/3153.htm
DOI: https://dx.doi.org/10.3748/wjg.15.3153

Park SM, Kim SY, Earle CC, Jeong SY, Yun YH. What is the most cost-effective strategy to screen for second primary colorectal cancers in male cancer survivors in Korea? World J Gastroenterol 2009; 15(25): 3153-3160 [PMID: 19575496 DOI: 10.3748/wjg.15.3153]

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