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Clinical costs of colorectal cancer screening in 5 federally funded demonstration programs.
MedLine Citation:
PMID:  23868481     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: The Centers for Disease Control and Prevention initiated the Colorectal Cancer Screening Demonstration Program (CRCSDP) to explore the feasibility of establishing a large-scale colorectal cancer (CRC) screening program for underserved populations in the United States. The authors of this report assessed the clinical costs incurred at each of the 5 participating sites during the demonstration period.
METHODS: By using data on payments to providers by each of the 5 CRCSDP sites, the authors estimated costs for specific clinical services and overall clinical costs for each of the 2 CRC screening methods used by the sites: colonoscopy and fecal occult blood test (FOBT).
RESULTS: Among CRCSDP clients who were at average risk for CRC and for whom complete cost data were available, 2131 were screened by FOBT, and 1888 were screened by colonoscopy. The total average clinical cost per individual screened by FOBT (including costs for screening, diagnosis, initial surveillance, office visits, and associated clinical services averaged across all individuals who received screening FOBT) ranged from $48 in Nebraska to $149 in Greater Seattle. This compared with an average clinical cost per individual for all services related to the colonoscopy screening ranging from $654 in St. Louis to $1600 in Baltimore City.
CONCLUSIONS: Variations in how sites contracted with providers and in the services provided through CRCSDP affected the cost of clinical services and the complexity of collecting cost data. Health officials may find these data useful in program planning and budgeting. Cancer 2013;119(15 suppl):2863-9. © 2013 American Cancer Society.
Authors:
Florence K L Tangka; Sujha Subramanian; Maggie C Beebe; Sonja Hoover; Janet Royalty; Laura C Seeff
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cancer     Volume:  119 Suppl 15     ISSN:  1097-0142     ISO Abbreviation:  Cancer     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0374236     Medline TA:  Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2863-9     Citation Subset:  AIM; IM    
Copyright Information:
© 2013 American Cancer Society.
Affiliation:
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
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