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. 2005 Mar 21;11(11):1587–1593. doi: 10.3748/wjg.v11.i11.1587

Table 1.

Summary of assumption.

Parameter Base case value Reference
Sensitivity and specificity of screening and diagnosis Sensitivity of FOBT for polyps/cancer 0.1/0.5 [15], [28], [29], [30]
Sensitivity of colonoscopy for polyps/cancer 0.85/0.97 [2], [31], [32]
Sensitivity of colon study for polyps/cancer 0.5/0.8 [2], [33], [34]
Sensitivity of sigmoidoscopy for polyps/cancer 0.67 [1], [2], [31], [32]
Specificity of FOBT 0.9 [15], [28], [29], [30]
Specificity of colonoscopy 1 [2], [31], [32]
Specificity of colon study 0.9 [2], [33], [34]
Specificity of sigmoidoscopy 1 [2], [31], [32]
Natural history of polyp/cancer sequence Prevalence of polyps at age 50 0.25 [13], [36]
Annual polyp incidence rate 0.005 [13], [36]
Percent of cancers originating as polyps 100% [37], [38]
Annual cancer incidence of polyp whose duration is below 5 yr 0.005 [17], [39], [40], [41]
Annual cancer incidence of polyp whose duration is from 5 to 10 yr 0.01 [17], [39], [40], [41]
Annual cancer incidence of polyp whose duration is above 10 yr 0.016 [17], [39], [40], [41]
Dwelling time of cancer in early stages 2 yr [29], [42]
Percent of cancers detected in early stages with no screening 5% [21]
Five-year all cause survival for early cancer 90% [21], [20]
Five-year all cause survival for advanced cancer 54% [20], [21], [23]
Polyp recurrence rate after polypectomy in the first year 0.11 [2], [3]
Polyp recurrence rate after polypectomy thereafter 0.03 [2], [3]
Complications and unintended consequences Rate of perforation of colon in colonoscopy 0.002 [12], [13]
Rate of perforation of colon in polypectomy 0.004 [12], [13]
Rate of perforation from sigmoidoscopy 0.0001 [12], [13]
Rate of perforation from colon study 0.00005 [7]
Death rate from perforated colon 0.002 [16], [17]
Cost (won1) Sigmoidoscopy 26620 [24]
Colonoscopy 52560 [24]
Colon study 58600 [24]
FOBT 2290 [24]
Polypectomy 134600 [24]
Biopsy 24160 [24]
Treatment of early cancer for first year 5150000 [3], [17], [23]
Treatment of advanced cancer for first year 10300000 [3], [17], [23]
Treatment of cancer after first year 2164000 [3], [17], [23]
Treatment of colonic perforation 3000000 [3]
1

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