Table 4.
Burdens, harms, benefits, and efficiencies at 2-year adherence rates for fecal immunological technique/fecal occult blood testing compared to recommended intervals for colonoscopy and mt-sDNA, 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 |
| FIT2y | 9326 | 1215 | 7 | 234 | 20 | 53% | 72% | 85% | 5 | 0.030 | 0.35 | |
| hsFOBT2y | 8388 | 1597 | 9 | 235 | 21 | 56% | 73% | 86% | 7 | 0.038 | 0.43 | |
| 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 |
| FIT2y | 9342 | 1243 | 8 | 200 | 17 | 35% | 62% | 81% | 6 | 0.040 | 0.47 | |
| hsFOBT2y | 8408 | 1636 | 9 | 200 | 18 | 37% | 63% | 81% | 8 | 0.045 | 0.50 | |
| 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 |
| FIT2y | 9241 | 1346 | 9 | 207 | 18 | 58% | 68% | 77% | 6 | 0.043 | 0.50 | |
| hsFOBT2y | 8448 | 1626 | 9 | 212 | 19 | 62% | 70% | 78% | 8 | 0.042 | 0.47 | |
| 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; CRC: Colorectal cancer; SimCRC: Simulation model of CRC; 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; FIT: Fecal immunological test.