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Fecal occult blood tests. A cost-effectiveness analysis
1Odense University.
Summary
The unhydrated Hemoccult II fecal occult blood test is the most cost-effective for colorectal neoplasm screening. Other tests like HemeSelect and rehydrated Hemoccult II show comparable costs to other cancer screening programs.
Area of Science:
- Gastroenterology
- Oncology
- Health Economics
Background:
- Fecal occult blood tests (FOBT) are available for colorectal neoplasm screening.
- Population screening programs can utilize various FOBTs.
Purpose of the Study:
- To estimate the relative cost-effectiveness of different FOBTs for colorectal neoplasm detection.
- To identify the most cost-effective FOBT for population-based screening.
Main Methods:
- Comparative cost-effectiveness analysis of available FOBTs.
- Evaluation of incremental costs per life-year gained.
Main Results:
- The unhydrated Hemoccult II test demonstrated the highest cost-effectiveness.
- HemeSelect and rehydrated Hemoccult II presented incremental costs per life-year comparable to breast and cervical cancer screening programs.
Conclusions:
- Unhydrated Hemoccult II is the preferred cost-effective option for colorectal cancer screening.
- The cost-effectiveness of HemeSelect and rehydrated Hemoccult II warrants consideration within the context of established cancer screening economics.