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Cost savings in mass population screening for colorectal cancer resulting from the early detection and excision of adenomas

✍ Scribed by David K. Whynes; Andrew R. Walker; Jack D. Hardcastle


Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
657 KB
Volume
1
Category
Article
ISSN
1057-9230

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✦ Synopsis


The widely-accepted hypothesis of a development sequence from colorectal adenoma to carcinoma is felt by clinicians to legitimate adenoma excision during routine colonoscopic investigation. Using published data on adenoma development, and adenoma prevalence data derived from the Nottingham colorectal cancer screening trial, the number of carcinomas prevented by early excision as a result of screening is predicted. The costeffectiveness of early excision is then evaluated with reference to the expected treatment costs saved. These cost savings are found to represent a discount on the overall costs of mass population screening for colorectal cancer.


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