Document Detail

Cost-effectiveness of total colonoscopy in screening of colorectal cancer in Japan.
MedLine Citation:
PMID:  22291697     Owner:  NLM     Status:  In-Data-Review    
Introduction. In Japan, the cost-effectiveness of total colonoscopy (TCS) for primary screening of colorectal cancer (CRC) is unclear. We compared the cost of identifying a patient with CRC using two primary screening strategies: TCS (strategy 1) and the immunochemical fecal test (FIT) (strategy 2). Materials and Methods. We retrospectively analyzed the TCS screening database at our institution from February 2004 to August 2010 (strategy 1, n = 15,348) and the Japanese nationwide survey of CRC screening in 2008 (strategy 2, n = 5,267,443). Results. 112 and 6,838 CRC cases were detected in strategies 1 and 2, costing 2,124,000 JPY and 1,629,000 JPY, respectively. The rate of earlier-stage CRC was higher in strategy 1. Conclusions. The cost was higher using TCS as a primary screening procedure. However, the difference was not excessive, and considering the increased rate of detecting earlier CRC, the use of TCS as a primary screening tool may be cost-effective.
Masau Sekiguchi; Takahisa Matsuda; Naoto Tamai; Taku Sakamoto; Takeshi Nakajima; Yosuke Otake; Yasuo Kakugawa; Yoshitaka Murakami; Yutaka Saito
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Publication Detail:
Type:  Journal Article     Date:  2012-01-12
Journal Detail:
Title:  Gastroenterology research and practice     Volume:  2012     ISSN:  1687-630X     ISO Abbreviation:  Gastroenterol Res Pract     Publication Date:  2012  
Date Detail:
Created Date:  2012-01-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101475557     Medline TA:  Gastroenterol Res Pract     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  728454     Citation Subset:  -    
Endoscopy Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan.
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