Table 1. Model input: CRC incidence and mortality rates in the absence of screening and hazard rate ratios for the three screening scenarios when compared with no screening.
Cycle |
CRC incidence |
CRC mortality |
||||||
---|---|---|---|---|---|---|---|---|
Year since age 55 | No screening (Hazard rate)a | gFOBT (HRR) | FSb (HRR) | FSb plus FOBT (HRR) | No sceening (Hazard rate, 2013)c | gFOBT (HRR) | FSb (HRR) | FSb plus FOBT (HRR) |
1 | 0.0006 | 1 | 2.05 | 2.05 | 0.0001 | 1 | 0.78 | 0.78 |
2 | 0.0007 | 1 | 0.77 | 0.77 | 0.0001 | 1 | 0.78 | 0.78 |
3 | 0.0007 | 1 | 0.77 | 0.77 | 0.0002 | 1 | 0.78 | 0.78 |
4 | 0.0008 | 1 | 0.47 | 0.47 | 0.0002 | 1 | 0.78 | 0.78 |
5 | 0.0009 | 1 | 0.82 | 0.82 | 0.0002 | 1 | 0.78 | 0.78 |
6 | 0.0010 | 1.64 | 0.65 | 0.96 | 0.0002 | 0.87 | 0.78 | 0.70 |
7 | 0.0010 | 0.77 | 0.77 | 0.63 | 0.0002 | 0.87 | 0.78 | 0.70 |
8 | 0.0010 | 1.13 | 0.65 | 0.72 | 0.0003 | 0.87 | 0.78 | 0.70 |
9 | 0.0012 | 0.86 | 0.77 | 0.68 | 0.0003 | 0.87 | 0.78 | 0.70 |
10 | 0.0013 | 1.08 | 1.00 | 1.06 | 0.0003 | 0.87 | 0.78 | 0.70 |
11 | 0.0014 | 0.69 | 0.53 | 0.41 | 0.0004 | 0.87 | 0.78 | 0.70 |
12 | 0.0015 | 1.11 | 0.65 | 0.70 | 0.0004 | 0.87 | 0.78 | 0.70 |
13 | 0.0017 | 0.71 | 0.75d | 0.58 | 0.0004 | 0.87 | 0.78 | 0.70 |
14 | 0.0018 | 0.94 | 0.75d | 0.71 | 0.0005 | 0.87 | 0.78 | 0.70 |
15 | 0.0020 | 1.00 | 0.75d | 0.75 | 0.0005 | 0.87 | 0.78 | 0.70 |
16 | 0.0021 | 1.06 | 0.75d | 0.78 | 0.0005 | 0.87 | 0.78 | 0.70 |
17 | 0.0023 | 1.06 | 0.75d | 0.78 | 0.0006 | 0.87 | 0.78 | 0.70 |
Abbreviations: CRC=colorectal cancer; FS=flexible sigmoidoscopy; gFOBT=guaiac faecal occult blood testing; HRR=hazard rate ratio.
CRC incidence is assumed to be constant in the years 2013–2030.
Presented for FS uptake 50%.
Adjusted for follow-up time, presented for cohort 2013. For cohort years 2014–2030, an annual 2% decrease in CRC mortality is assumed.
Extrapolations from follow-up years 8–12.