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The effect of screening on treatment cost: The case of colorectal cancer


  • Aas, Eline

    () (Institute of Health Management and Health Economics)


This paper presents a medical cost function developed for a screening programme. The medical cost function is a function of advancement both directly and indirectly through survival. We discuss how the medical cost function is affected by screening through a shift in the distribution of cancers according to advancement. We show that screening reduces the treatment cost for cancers diagnosed at the screening, even though the medical cost function not unambiguously increases with stage of advancement. This is the first step in a cost-effectiveness analysis, and even though the results are favourable to the introduction of screening for colorectal cancer as a preventive health measure, total screening costs and health benefits must be evaluated to arrive at a recommendation.

Suggested Citation

  • Aas, Eline, 2009. "The effect of screening on treatment cost: The case of colorectal cancer," HERO On line Working Paper Series 2008:5, Oslo University, Health Economics Research Programme.
  • Handle: RePEc:hhs:oslohe:2008_005

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    References listed on IDEAS

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    8. Aigner, Dennis J. & Hsiao, Cheng & Kapteyn, Arie & Wansbeek, Tom, 1984. "Latent variable models in econometrics," Handbook of Econometrics,in: Z. Griliches† & M. D. Intriligator (ed.), Handbook of Econometrics, edition 1, volume 2, chapter 23, pages 1321-1393 Elsevier.
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    More about this item


    treatment cost; stage of advancement; screening; probabilistic sensitivity analysis; bootstrap method;

    JEL classification:

    • C41 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods: Special Topics - - - Duration Analysis; Optimal Timing Strategies
    • H42 - Public Economics - - Publicly Provided Goods - - - Publicly Provided Private Goods
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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