An economic evaluation of reducing colorectal cancer surveillance intensity

Author(s):  
Benjamin Allaire ◽  
Robbie Skinner ◽  
Grant King ◽  
Amanda Honeycutt ◽  
Dominick Esposito

Aim: Analyze the impact of national implementation of ‘low intensity’ post-treatment colorectal cancer surveillance compared with current practices. Materials & methods: Create a population-level Markov model to estimate impacts of expansion of low versus high intensity surveillance post-treatment on healthcare utilization, costs and caregiver time loss. Results: Shifting to low intensity colorectal cancer surveillance would reduce patient burden by 301,830 h per patient annually over 5 years. Cost reductions over 5 years were US$43.5 million for Medicare and US$4.2 million for Medicaid. Total societal cost savings equaled US$104.2 million. Conclusion: National implementation of low intensity post-treatment colorectal cancer surveillance has the potential to significantly reduce burden and costs on patients and their caregivers with no added risks to health.

2019 ◽  
Vol 43 (4) ◽  
pp. 270-273 ◽  
Author(s):  
Nabiha Shamsi ◽  
Aasma Shaukat ◽  
Sofia Halperin-Goldstein ◽  
Joshua Colton

Colorectal cancer surveillance intervals by colonoscopy are based on the size and number of polyps removed. Evidence suggests endoscopists’ estimation of polyp size is often inaccurate, but the differences by endoscopists’ characteristics have not been reported. This study assesses endoscopists’ accuracy of measuring polyp illustrations, the effect of endoscopists’ characteristics, and the impact of having a measurement reference. Endoscopists in a community-based, gastroenterology practice estimated the size of several illustrations in a booklet. One month later, they estimated the size of illustrations with a provided measurement reference. Accuracy was defined as no difference between estimated and actual value. Endoscopists were accurate in sizing only 15% of the time, with a tendency toward undersizing. Female endoscopists, those with less than 10 years in practice and those with lower adenoma detection rates, were more likely to undersize polyps. Accuracy of measuring the polyp illustrations increased to 50% ( p < .01) with the measurement reference. The improvement in accuracy was seen across endoscopists’ demographic groups. Endoscopists had poor accuracy of measuring polyp illustrations. Almost universally, endoscopists tended to undersize the polyp illustrations. Accuracy improved significantly with the use of a polyp-measuring guide, particularly when considering important surveillance thresholds of 5 and 10 mm.


2001 ◽  
Vol 120 (5) ◽  
pp. A602-A602
Author(s):  
S RAWL ◽  
S BLACKBURN ◽  
L HACKWARD ◽  
N FINEBERG ◽  
T IMPERIALE ◽  
...  

1994 ◽  
Vol 81 (5) ◽  
pp. 689-691 ◽  
Author(s):  
B. Jonsson ◽  
L. Åhsgren ◽  
L. O. Andersson ◽  
R. Stenling ◽  
J. Rutegåd

2018 ◽  
Vol 32 (7) ◽  
pp. 3108-3113 ◽  
Author(s):  
Jamie M. Tjaden ◽  
Jessica A. Hause ◽  
Daniel Berger ◽  
Samantha K. Duveneck ◽  
Shriram M. Jakate ◽  
...  

2019 ◽  
Vol 89 (6) ◽  
pp. AB161
Author(s):  
Ahmad Abu-Heija ◽  
Bashar Mohamad ◽  
Pradeep R. Kathi ◽  
Mohammed Mustafa Nayeem ◽  
Mowyad Khalid ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document