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. Author manuscript; available in PMC: 2013 Feb 21.
Published in final edited form as: Ann Intern Med. 2010 Sep 21;153(6):368–377. doi: 10.1059/0003-4819-153-6-201009210-00004
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.