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. 2012 Nov 13;9(4):175–179. doi: 10.1200/JOP.2012.000573

Table 2.

Impact of Age Cutoffs on LS Screen/Test Outcomes, at 100% and 50% Confirmatory Testing Acceptance Rates (N = 325 patients with CRC)

Variable No Age Cutoff
80 Years
70 Years
60 Years
50 Years
100% Acceptance Rate 50% Acceptance Rate 100% Acceptance Rate 50% Acceptance Rate 100% Acceptance Rate 50% Acceptance Rate 100% Acceptance Rate 50% Acceptance Rate 100% Acceptance Rate 50% Acceptance Rate
Total cost to screen and test this age cohort $113,123 $100,711 $97,808 $87,076 $72,747 $64,765 $46,293 $41,214 $17,752 $15,804
No. of LS cases present in entire CRC cohort 11.7 11.7 11.7 11.7 11.7 11.7 11.7 11.7 11.7 11.7
No. of LS cases expected in screened cohort 11.7 11.7 11.2 11.2 10.1 10.1 9.0 9.0 5.9 5.9
Mean No. of LS cases expected to be identified in screened cohort 10.7 5.4 10.2 5.1 9.2 4.6 8.3 4.1 5.4 2.7
Cost per LS case detected in screened cohort $10,567 $18,794 $9567 $17,016 $7865 $3989 $5594 $9950 $3316 $5899
No. of LS cases missed if screening cut off at this age 1.0 6.3 1.5 6.6 2.5 7.1 3.4 7.6 6.3 9.0
No. of LS cases expected to be missed in screened cohort 1.0 6.3 0.9 6.1 0.9 5.5 0.8 4.9 0.5 3.2
LS cases that would be missed with this strategy, % 8.5 54.2 12.6 56.3 20.9 60.4 29.3 64.6 54.3 77.1

NOTE. Boldface indicates parameters the authors believe to be most important in the age cutoffs reviewed in the Discussion section.

Abbreviations: CRC, colorectal cancer; LS, Lynch syndrome.