Table 3.
Burdens, harms, benefits, and efficiencies for 100% perfect adherence for colorectal cancer screening tests at current recommended intervals, ages 50-75, per 1000 people screened
|
Burdens and harms |
Benefits |
|||||||||||
| CISNET model | Test | Stool tests | Total COL | Complications | LYG | CRC DA | CRC incidence reduction | CRC mortality reduction | % of COL 10y LYG | COL per LYG | Complications per LYG | Complications per DA |
| SimCRC | COL 10y | 0 | 4007 | 14 | 275 | 24 | 81% | 87% | 100% | 15 | 0.051 | 0.58 |
| FIT1y | 15778 | 1739 | 10 | 260 | 23 | 67% | 81% | 95% | 7 | 0.038 | 0.43 | |
| hsFOBT1y | 12914 | 2230 | 11 | 261 | 23 | 69% | 82% | 95% | 9 | 0.042 | 0.48 | |
| mt-sDNA3y | 5990 | 1701 | 9 | 250 | 22 | 63% | 78% | 91% | 7 | 0.036 | 0.41 | |
| MISCAN | COL 10y | 0 | 4101 | 15 | 248 | 22 | 62% | 79% | 100% | 17 | 0.060 | 0.68 |
| FIT1y | 15843 | 1757 | 10 | 231 | 20 | 47% | 72% | 93% | 8 | 0.043 | 0.50 | |
| hsFOBT1y | 12927 | 2287 | 11 | 232 | 20 | 49% | 73% | 94% | 10 | 0.047 | 0.55 | |
| mt-sDNA3y | 5779 | 1714 | 9 | 215 | 19 | 43% | 68% | 87% | 8 | 0.042 | 0.47 | |
| CRC-SPIN | COL 10y | 0 | 4049 | 15 | 270 | 24 | 88% | 90% | 100% | 15 | 0.056 | 0.62 |
| FIT1y | 15444 | 1899 | 11 | 244 | 22 | 72% | 81% | 90% | 8 | 0.045 | 0.50 | |
| hsFOBT1y | 13026 | 2253 | 11 | 247 | 22 | 75% | 82% | 92% | 9 | 0.045 | 0.50 | |
| mt-sDNA3y | 5927 | 1827 | 10 | 226 | 20 | 68% | 76% | 84% | 8 | 0.044 | 0.50 | |
CISNET: National Cancer Institute’s Cancer Intervention and Surveillance Modeling Network; SimCRC: Simulation model of colorectal cancer; MISCAN: Microsimulation screening analysis; CRC-SPIN: Colorectal cancer simulated population model for incidence and natural history; COL: Colonoscopies; LYG: Life-years gained; DA: Deaths averted; COL 10y: Colonoscopy at a 10-year interval.