Table 5. Sensitivity analyses: cumulative number of CRC cases and deaths prevented by adding FS to the England NHS Bowel Cancer Screening Programme.
CRC cases |
CRC deaths |
|||||||
---|---|---|---|---|---|---|---|---|
2025 | 2030 | 2025 | 2030 | |||||
N | % | N | % | N | % | N | % | |
Base-case: | ||||||||
−2152 | −9627 | −808 | −2207 | |||||
Alternatives: | ||||||||
1. Trend in underlying CRC incidence and mortality rates | ||||||||
A. Incidence −0.5% py, mortality −3% py | −2044 | −5% | −9002 | −6% | −759 | −6% | −2137 | −3% |
B. Incidence +1.0% py, mortality contant | −2262 | +5% | −10 294 | +7% | −1133 | +40% | −3328 | +51% |
2. Alternative invitation rates FS | −1029 | −52% | −7204 | −25% | −572 | −29% | −1725 | −22% |
3. Alternative uptake rates FS | ||||||||
A. FS uptake 38% | −1662 | −23% | −7379 | −23% | −619 | −23% | −1691 | −23% |
B. FS uptake 71% | −3016 | +40% | −13 689 | +42% | −1155 | +43% | −3154 | +43% |
4. HRR mortality | ||||||||
A. Lower HRR gFOBT | −2070 | −4% | −9217 | −4% | −796 | −1% | −2139 | −3% |
B. Upper HRR gFOBT | −2231 | +4% | −10 037 | +4% | −821 | +2% | −2276 | +3% |
C. Lower HRR FS | −2562 | +19% | −10 742 | +12% | −945 | +17% | −2594 | +18% |
D. Upper HRR FS | −1740 | −19% | −8512 | −12% | −673 | −17% | −1824 | −17% |
5. Alternative impact of gFOBT following FS | −2180 | +1% | −9660 | +0% | −802 | −1% | −2172 | −2% |
Abbreviations: CRC=colorectal cancer; FS=flexible sigmoidoscopy; gFOBT=guaiac faecal occult blood testing; HRR=hazard rate ratio; py=per year.