Table 6. Application of parameters in current model to figures of Atkin et al, 1993.
Parameter | Atkin et al | Geurts et al | Correction factor (ratio) | Application of Geurts et al's assumptions to the Atkin et al's estimates |
---|---|---|---|---|
Annual reduction in CRC deaths of FS vs no screening (based on data from 1987) | 3499 | |||
Eligible population size | 602400 persons aged 58 in the UK in 1987 | On average 501 000 persons aged 55 in England in 2013–2030 (Table 3) | 0.83 | 2910 |
Age at FS | 58 years | 55 years (20-year mortality rate 20% lower, CRUK) | 0.80 | 2328 |
Case fatality rate | 60% | 38% | 0.63 | 1474 |
Effect size | HRR CRC mortality FS vs no screening=0.67 | HRR CRC mortality FS vs no screening=0.69 (UK FS trial, Table 1) | 0.94 | 1385 |
Uptake FS | 70% | 50% | 0.71 | 989 |
Number of age cohorts | 22 (age 57–79) | 17 (age 55–72) | 0.77 | 764 |
Net benefit after partial coverage by gFOBT | Not applicable | HRR FS vs no screening=0.78; HRR FS plus gFOBT vs gFOBT=0.70/0.87=0.80 (for gFOBT screening years) | 0.91 | 695 |
Annual reduction in CRC deaths of FS plus gFOBT vs gFOBT in 2030 | 695 | 349 |
Abbreviations: CRUK=cancer research UK; FS=flexible sigmoidoscopy; gFOBT=guaiac faecal occult blood test; HRR=hazard rate ratio.