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Faecal occult blood screening for colorectal cancer: is it cost‐effective?

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  • David K. Whynes
  • Aileen R. Neilson
  • Andrew R. Walker
  • Jack D. Hardcastle

Abstract

Recently published evidence from two large‐scale clinical trials conducted in England and in Denmark suggests that faecal occult blood screening for colorectal cancer significantly reduces mortality. However, before screening can be advocated as part of national health policy, its cost‐effectiveness must be demonstrated. The English screening trial has been the subject of a detailed economic evaluation over the past 10 years. In this paper, cost‐effectiveness estimates of screening are presented, based on cost and outcome data combined in a mathematical model developed from the trial's clinical findings. The estimates of cost per quality‐adjusted life‐year gained from colorectal cancer screening show the procedure to be of similar cost‐effectiveness to breast cancer screening in the short term. Over the longer term, however, the estimates for colorectal cancer screening appear superior. © 1998 John Wiley & Sons, Ltd.

Suggested Citation

  • David K. Whynes & Aileen R. Neilson & Andrew R. Walker & Jack D. Hardcastle, 1998. "Faecal occult blood screening for colorectal cancer: is it cost‐effective?," Health Economics, John Wiley & Sons, Ltd., vol. 7(1), pages 21-29, February.
    • Handle: RePEc:wly:hlthec:v:7:y:1998:i:1:p:21-29
    DOI: 10.1002/(SICI)1099-1050(199802)7:1<21::AID-HEC306>3.0.CO;2-9
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    References listed on IDEAS

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    1. David K. Whynes & Aileen R. Neilson, 1993. "Convergent validity of two measures of the quality of life," Health Economics, John Wiley & Sons, Ltd., vol. 2(3), pages 229-235, October.
    2. Andrew Walker & David K. Whynes, 1992. "Filtering Strategies in Mass Population Screening for Colorectal Cancer," Medical Decision Making, , vol. 12(1), pages 2-7, February.
    3. John Cairns, 1992. "Discounting and health benefits: Another Perspective," Health Economics, John Wiley & Sons, Ltd., vol. 1(1), pages 76-79, April.
    4. David K. Whynes & Andrew R. Walker & Jack D. Hardcastle, 1992. "Cost savings in mass population screening for colorectal cancer resulting from the early detection and excision of adenomas," Health Economics, John Wiley & Sons, Ltd., vol. 1(1), pages 53-60, April.
    5. Neilson, Aileen R. & Whynes, David K., 1995. "Determinants of persistent compliance with screening for colorectal cancer," Social Science & Medicine, Elsevier, vol. 41(3), pages 365-374, August.
    6. Michael Parsonage & Henry Neuburger, 1992. "Discounting and health benefits," Health Economics, John Wiley & Sons, Ltd., vol. 1(1), pages 71-76, April.
    7. Karen Gerard & Gavin Mooney, 1993. "Qaly league tables: Handle with care," Health Economics, John Wiley & Sons, Ltd., vol. 2(1), pages 59-64, April.
    8. Walker, Andrew & Whynes, David K., 1991. "Participation and screening programmes for colorectal cancer: More would be better?," Journal of Health Economics, Elsevier, vol. 10(2), pages 207-225, July.
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    1. Whynes, David K. & Frew, Emma & Wolstenholme, Jane L., 2003. "A comparison of two methods for eliciting contingent valuations of colorectal cancer screening," Journal of Health Economics, Elsevier, vol. 22(4), pages 555-574, July.
    2. Magnus Johannesson & David Meltzer, 1998. "Editorial: Some reflections on cost‐effectiveness analysis," Health Economics, John Wiley & Sons, Ltd., vol. 7(1), pages 1-7, February.
    3. Panos Kanavos & Willemien Schurer, 2010. "The dynamics of colorectal cancer management in 17 countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 10(1), pages 115-129, January.
    4. Emma J. Frew & David K. Whynes & Jane L. Wolstenholme, 2003. "Eliciting Willingness to Pay: Comparing Closed-Ended with Open-Ended and Payment Scale Formats," Medical Decision Making, , vol. 23(2), pages 150-159, March.

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