IDEAS home Printed from
   My bibliography  Save this article

Clinical and programmatic costs of implementing colorectal cancer screening: Evaluation of five programs


  • Subramanian, Sujha
  • Tangka, Florence K.L.
  • Hoover, Sonja
  • DeGroff, Amy
  • Royalty, Janet
  • Seeff, Laura C.


Background The Centers for Disease Control and Prevention (CDC) initiated the Colorectal Cancer Screening Demonstration Program (CRCSDP) in 2005 to explore the feasibility of establishing a colorectal cancer screening program for underserved US populations. We provide a detailed overview of the evaluation and an assessment of the costs incurred during the service delivery (screening) phase of the program.Methods Tailored cost questionnaires were completed by staff at the five CRCSDP sites for the first 2 years of the program. We collected cost data for clinical and programmatic activities (program management, data collection and tracking, etc.). We also measured in-kind contributions and assigned values to them.Results During the first 2 years of the demonstration excluding the start-up cost, the average cost per person was $2569. Per person cost of clinical services alone ranged from $264 to $1385, while per person programmatic costs ranged from $545 to $3017.Conclusion Colorectal cancer screening programs can incur substantial costs for some non-clinical activities, such as data collection/tracking, and these support activities should be managed carefully to control costs and ensure successful program implementation. Our findings highlight the importance of performing economic evaluation to guide the design of future colorectal cancer screening programs.

Suggested Citation

  • Subramanian, Sujha & Tangka, Florence K.L. & Hoover, Sonja & DeGroff, Amy & Royalty, Janet & Seeff, Laura C., 2011. "Clinical and programmatic costs of implementing colorectal cancer screening: Evaluation of five programs," Evaluation and Program Planning, Elsevier, vol. 34(2), pages 147-153, May.
  • Handle: RePEc:eee:epplan:v:34:y:2011:i:2:p:147-153

    Download full text from publisher

    File URL:
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    1. Subramanian, Sujha & Ekwueme, Donatus U. & Gardner, James G. & Bapat, Bela & Kramer, Caren, 2008. "Identifying and controlling for program-level differences in comparative cost analysis: Lessons from the economic evaluation of the National Breast and Cervical Cancer Early Detection Program," Evaluation and Program Planning, Elsevier, vol. 31(2), pages 136-144, May.
    Full references (including those not matched with items on IDEAS)


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:epplan:v:34:y:2011:i:2:p:147-153. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.