Citation:
Erenay, F. S. , Alagoz, O. , Banerjee, R. , Said, A. , & Cima, R. R. . (2016). Cost-effectiveness of alternative colonoscopy surveillance strategies to mitigate metachronous colorectal cancer incidence. Cancer, 122(16), 2560-2570. Retrieved from http://onlinelibrary.wiley.com/doi/10.1002/cncr.30091/full
Abstract:
BACKGROUND
The incidence of metachronous colorectal cancer (MCRC) among colorectal cancer (CRC) survivors varies significantly, and the optimal colonoscopy surveillance practice for mitigating MCRC incidence is unknown.
METHODS
A cost-effectiveness analysis was used to compare the performances of the US Multi-Society Task Force guideline and all clinically reasonable colonoscopy surveillance strategies for 50- to 79-year-old posttreatment CRC patients with a computer simulation model.
CONCLUSIONS
The US guideline might be improved by a slight increase in the surveillance intensity at the expense of moderately increased cost. More research is warranted to explore the benefits/harms of such practices.
