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. 2023 Jul 20;9(10):1432–1436. doi: 10.1001/jamaoncol.2023.2312

Table 1. Cumulative Outcomes of Modeled Scenarios for CRC Screening Initiation at age 45 or 40 Yearsa,b.

Measure Birth cohort Screening initiation age, y
≥50 45 40
Total cost, $ (billions) 1973-1977 7.66 7.74 7.74
1978-1982 9.23 9.34 9.43
1983-1987 12.34 12.43 12.55
1988-1992 15.10 15.13 15.27
Cost of screening and diagnosis, $ (billions) 1973-1977 2.70 2.84 2.84
1978-1982 3.04 3.30 3.46
1983-1987 3.67 3.96 4.23
1988-1992 4.23 4.55 4.85
Cost of CRC management, $ (billions)c 1973-1977 4.97 4.89 4.89
1978-1982 6.19 6.03 5.97
1983-1987 8.67 8.47 8.32
1988-1992 10.87 10.58 10.42
CRC incidence 1973-1977 87 732 86 472 86 472
1978-1982 109 472 107 014 106 015
1983-1987 154 048 150 483 147 944
1988-1992 192 302 187 396 184 987
CRC deaths 1973-1977 30 331 29 900 29 900
1978-1982 37 880 36 676 36 235
1983-1987 53 018 51 600 50 504
1988-1992 66 568 64 361 63 171

Abbreviation: CRC, colorectal cancer.

a

Values are cumulative over the 40-year period from the year the oldest participants of the cohort turn age 40 years to when the youngest participants turn age 75 years.

b

All costs are in 2019 Canadian dollars. Screening test results included screening done by fecal immunochemical test and colonoscopy (for eligible individuals with family medical history).

c

Cost of CRC management included screening, diagnosis, treatment, management of recurrence, palliative and end-of-life care (for all CRC cases, diagnosed by screening or not).