Cost-benefit analysis of colorectal cancer screening program among community population in Guangzhou city
ZHOU Qin1, LI Hai-lin1, GU Yu-ting2, LI Yan1, LIANG Ying-ru1, LIU Hua-zhang1, FENG Zhi-qiang3, LIN Guo-zhen1
1. Guangzhou Municipal Center for Disease Control and Prevention, Guangzhou, Guangdong 510440, China; 2. The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510080, China; 3. Guangzhou First People's Hospital, Guangzhou, Guangdong 510013, China
Abstract:Objective To analyze the cost-benefit of first-round colorectal cancer screening program (CCSP) in Guangzhou city from 2015 to 2017. Methods The data were collected from the first-round CCSP in Guangzhou city from 2015 to 2017. The total cost included the total cost of screening, the cost of direct medical treatment for adenomas, and the cost of future enteroscopy reexamination and treatment for recurrence of adenomas. The total benefit included the benefit of early detection of colorectal cancer and the benefit of avoiding future cancer due to early detection of adenomas and precancerous lesions. Results From 2015 to 2017, the total cost of the first-round CCSP in Guangzhou city was 39.285 million yuan, the total benefit 123.298 million yuan, the net benefit 84.013 million yuan, and the benefit-cost ratio (BCR) 3.1. If colonoscopycompliancewas improved to 30%, 40%, 50%, 60%, 70%, 80% and 90%, the net benefit and BCR of colon cancer screening would gradually increase. Conclusions The first-round CCSP in Guangzhou city is cost-effective. The higher the participation rate of enteroscopy, the higher the cost-benefit.
周琴, 李海麟, 谷玉婷, 李燕, 梁颖茹, 刘华章, 冯志强, 林国桢. 广州市社区人群大肠癌筛查项目成本效益分析[J]. 实用预防医学, 2020, 27(6): 674-677.
ZHOU Qin, LI Hai-lin, GU Yu-ting, LI Yan, LIANG Ying-ru, LIU Hua-zhang, FENG Zhi-qiang, LIN Guo-zhen. Cost-benefit analysis of colorectal cancer screening program among community population in Guangzhou city. , 2020, 27(6): 674-677.
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