Table 1. Clinical and economic outcomes with navigation for one-time screening colonoscopy in a 10,000-person predominantly minority cohort, ages 50 to >80: Base case.
| No Screening | Colonoscopy without Navigation | Colonoscopy with Navigation | |
|---|---|---|---|
| Screening Uptake | 0% | 40% | 65% |
| CRC cases per 10,000 persons from entry until age 100 | 551 | 453 | 392 |
| CRC stage | |||
| Localized | 40% | 41% | 42% |
| Regional | 37% | 37% | 37% |
| Distant | 23% | 22% | 21% |
| CRC deaths per 10,000 persons | 216 | 174 | 148 |
| QALYs/person | 15.4222 | 15.4439 | 15.4575 |
| Cost/person | $2,814 | $2,558 | $2,422 |
| ICER | |||
| No Screening | - | Dominates | Dominates |
| Colonoscopy without Navigation | - | - | Dominates |
| Colonoscopy with Navigation | - | - | - |
| Results by subpopulation | |||
| QALYs/person, African American* | 14.2774 | 14.3012 | 14.3161 |
| Cost/person, African American* | $3,276 | $2,929 | $2,734 |
| QALYs/person, Hispanic* | 16.4264 | 16.4458 | 16.4579 |
| Cost/person, Hispanic* | $2,347 | $2,184 | $2,105 |
| QALYs/person, White* | 15.4349 | 15.4602 | 15.4761 |
| Cost/person, White* | $3,258 | $2,917 | $2,727 |
| QALYs/person, Age 55 at entry** | 17.4717 | 17.4944 | 17.5086 |
| Cost/person, Age 55 at entry** | $2,661 | $2,480 | $2,389 |
| QALYs/person, Age 65 at entry** | 13.7169 | 13.7398 | 13.7540 |
| Cost/person, Age 65 at entry** | $3,058 | $2,697 | $2,495 |
| QALYs/person, Age 75 at entry** | 9.7467 | 9.7600 | 9.7684 |
| Cost/person, Age 75 at entry** | $2,945 | $2,597 | $2,402 |
| QALYs/person, Age 85 at entry** | 5.9554 | 5.9610 | 5.9643 |
| Cost/person, Age 85 at entry** | $2,271 | $2,127 | $2,061 |
57% age 50-59, 33% age 60-69, 9% age 70-79 and 1% age ≥80.
43% African American, 49% Hispanic, 4% White and 4% Other.
CRC, colorectal cancer; QALY, quality-adjusted life-year; ICER, incremental cost-effectiveness ratio.