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Published on: August 28, 2018
Cost-effectiveness of CT colonography
Cesare Hassan1, Perry J Pickhardt
1Digestive Endoscopy Unit, Nuovo Regina Margherita Hospital, Roma 00153, Italy. cesareh@hotmail.com
Radiologic Clinics of North America
|November 28, 2012
Summary
Computed tomography colonography (CTC) significantly reduces colorectal cancer (CRC) incidence and mortality. Simulation modeling shows CTC is cost-effective compared to no screening, with potential to be cost-effective versus colonoscopy.
Area of Science:
- Medical Imaging
- Public Health
- Health Economics
Background:
- Colorectal cancer (CRC) screening is crucial for reducing incidence and mortality.
- Computed tomography colonography (CTC) is an emerging screening tool with demonstrated effectiveness.
- Variability in CTC's long-term impact necessitates further analysis.
Purpose of the Study:
- To evaluate the long-term efficacy and cost-effectiveness of CTC for CRC screening.
- To identify factors influencing CTC's performance and cost-effectiveness.
- To compare CTC's cost-effectiveness against no screening and colonoscopy.
Main Methods:
- Extensive application of simulation modeling.
- Analysis of CRC incidence and mortality reduction data.
- Cost-effectiveness analysis comparing CTC with alternative screening strategies.
Main Results:
- CTC effectively reduces CRC incidence (40%-77%) and mortality (58%-84%).
- CTC is cost-effective compared to no screening.
- CTC can be cost-effective relative to colonoscopy if attendance rates increase or costs decrease.
Conclusions:
- Simulation modeling supports CTC as an effective CRC screening tool.
- CTC presents an attractive option, particularly when compared to no screening.
- Wider utilization and reimbursement can enhance CTC's cost-effectiveness relative to colonoscopy.
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