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.
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.
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).
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).