Table 5.
Burdens, harms, benefits, and efficiencies for fecal immunological technique and fecal occult blood testing at 3-year adherence rates 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 |
| FIT3y | 6887 | 971 | 6 | 212 | 18 | 45% | 65% | 77% | 5 | 0.028 | 0.33 | |
| hsFOBT3y | 6456 | 1286 | 7 | 212 | 18 | 47% | 66% | 77% | 6 | 0.033 | 0.39 | |
| 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 |
| FIT3y | 6795 | 995 | 7 | 176 | 15 | 28% | 55% | 71% | 6 | 0.040 | 0.47 | |
| hsFOBT3y | 6302 | 1296 | 8 | 175 | 15 | 30% | 55% | 71% | 7 | 0.046 | 0.53 | |
| mt-sDNA3y | 5779 | 1714 | 9 | 215 | 19 | 43% | 68% | 87% | 8 | 0.042 | 0.49 | |
| CRC-SPIN | COL 10y | 0 | 4049 | 15 | 270 | 24 | 88% | 90% | 100% | 15 | 0.056 | 0.62 |
| FIT3y | 6857 | 1081 | 7 | 178 | 16 | 49% | 59% | 66% | 6 | 0.039 | 0.44 | |
| hsFOBT3y | 6498 | 1317 | 8 | 183 | 16 | 53% | 61% | 68% | 7 | 0.044 | 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; COL: Colonoscopies; COL 10y: Colonoscopy at a 10-year interval; LYG: Life-years gained; CRC: Colorectal cancer; MISCAN: Microsimulation screening analysis; CRC-SPIN: Colorectal cancer simulated population model for incidence and natural history; SimCRC: Simulation model of colorectal cancer; DA: Deaths averted; FIT: Fecal immunological test.