Table 2.
Screening costs36 | CRC treatment costs37 | |||||
---|---|---|---|---|---|---|
Procedure | Cost* | Stage | Initial* | Continuous* | Terminal care, death CRC* | Terminal care, death other cause* |
Colonoscopy | $662 | I | $ 28,668 ($27,905-$29,432) | $ 2,395 ($2,179-$2,612) | $ 51,935 ($49,690-$54,181) | $ 12,703 ($10,533-$14,870) |
Colonoscopy with polypectomy | $846 | II | $ 39,700 ($38,876-$40,525) | $ 2,237 ($2,036-$2,440) | $ 51,712 ($49,989-$53,434) | $ 11,035 ($9,214-$12,856) |
Treatment of perforation | $12,446 | III | $ 48,951 ($47,924-$49,976) | $ 3,249 ($2,966-$3,531) | $ 54,776 ($53,204-$56,348) | $ 14,708 ($11,993-$17,422) |
Treatment of serosal burn | $5,208 | IV | $ 64,801 ($62,420-$67,181) | $ 10,419 ($9,249-$11,590) | $ 73,522 ($71,800-$75,243) | $ 39,679 ($31,826-$47,532) |
Treatment of bleed with transfusion | $5,208 | |||||
Treatment of bleed without transfusion | $320 |
Costs for cancer care were divided into three clinically relevant phases of care - initial, continuing and terminal care. The initial phase was defined as the first 12 months following diagnosis, the terminal phase was defined as the final 12 months of life, and the continuing phase was defined as all months between the initial and last year of life phases of care. For patients surviving less than 24 months after diagnosis, the final 12 months of observation and costs of care were then allocated first to the last year of life phase, because the content of care for patients with short survival is more similar to the last year of life phase than the initial phase. The remainder of months of observation and costs were allocated to the initial phase, with no contribution to the continuing phase.