| MISCAN
|
SimCRC
|
|||||||
|---|---|---|---|---|---|---|---|---|
| Strategy | Discounted costs ($) | Discounted LYG | CER ($) | ICER ($) | Discounted costs ($) | Discounted LYG | CER ($) | ICER ($) |
| No Screening | 2,714,600 | 0 | NA | d | 2,295,600 | 0 | NA | d |
| HII | 2,630,600 | 65.1 | CS | --- | 2,122,000 | 57.9 | CS | d |
| HS | 2,715,300 | 80.4 | 10 | 5,600 | 2,078,600 | 76.1 | CS | --- |
| IFOBT | 2,776,800 | 79.4 | 784 | d | 2,155,700 | 75.0 | CS | d |
| SIGB | 2,823,200 | 74.3 | 1,463 | d | 2,189,100 | 58.7 | CS | d |
| SIG | 2,810,500 | 76.2 | 1,258 | d | 2,176,800 | 62.4 | CS | d |
| HS (3y) + SIGB | 2,798,156 | 83.1 | 1,006 | d | 2,106,646 | 77.9 | CS | d |
| HS (3y) + SIG | 2,857,191 | 83.7 | 1,704 | d | 2,143,225 | 77.0 | CS | d |
| IFOBT (3y) + SIGB | 2,932,676 | 82.9 | 2,631 | d | 2,148,703 | 77.5 | CS | d |
| IFOBT (3y) + SIG | 2,912,349 | 83.6 | 2,367 | d | 2,187,271 | 76.6 | CS | d |
| HII + SIGB | 2,793,800 | 84.1 | 941 | 20,800 | 2,127,300 | 79.0 | CS | d |
| HII + SIG | 2,840,500 | 84.6 | 1,488 | d | 2,113,600 | 80.2 | CS | 8,600 |
| HS + SIGB | 2,863,800 | 87.1 | 1,714 | 23,900 | 2,187,800 | 84.7 | CS | d |
| HS + SIG | 2,909,400 | 87.1 | 2,237 | d | 2,187,000 | 85.2 | CS | 14,600 |
| IFOBT + SIGB | 3,025,600 | 87.1 | 3,569 | d | 2,282,400 | 84.6 | CS | d |
| IFOBT + SIG | 2,992,800 | 87.2 | 3,190 | 924,800 | 2,283,000 | 85.1 | CS | d |
| COL | 2,906,100 | 86.2 | 2,222 | d | 2,199,800 | 85.5 | CS | 40,200 |
| Stool DNA (3y)* | 3,673,500 | 68.0 | 14,105 | d | 3,081,300 | 64.2 | 12,233 | d |
| Stool DNA (5y)* | 3,383,000 | 58.8 | 11,375 | d | 2,814,300 | 51.4 | 10,089 | d |
LYG = life-years gained vs. no screening; ICER = incremental cost-effectiveness ratio; CER = cost-effectiveness ratio compared with no screening; HII = annual Hemoccult II, HS = annual Hemoccult SENSA; IFOBT = annual immunochemical fecal occult blood test; SIG = 5-yearly sigmoidoscopy without biopsy; SIGB = 5-yearly sigmoidoscopy with biopsy; HS (3y) = 3-yearly Hemoccult SENSA; iFOBT (3y) = 3-yearly immunochemical fecal occult blood test; COL = 10-yearly colonoscopy; d = dominated; --- indicates default strategy (i.e., the least costly and least effective non-dominated strategy); NA = not applicable
The two stool DNA strategies are not competing options. They are shown here together for comparison purposes only. The ICERs are assessed separately using each stool DNA strategy in turn.