Skip to main content
. Author manuscript; available in PMC: 2020 Jul 1.
Published in final edited form as: Gastroenterology. 2019 Mar 28;157(1):137–148. doi: 10.1053/j.gastro.2019.03.023

Table 1.

Base Case Clinical and Economic Outcomes for Screening From Age 45 vs 50 Years Through Age 75 Years, Including Post-Polypectomy Surveillance ThroughAge 80 Years

Outcomes per 1000 persons ages 45–100 years
Cost effectiveness
Strategy CRC cases, n CRC deaths, n Colonoscopies, n Stool tests, n Sigmoidoscopies, n QALYs per person Cost per person Comparator strategy Cost per QALY gained
No screening 106 43 275 21.1645 $5146
Screening starting at age 45 years
 Colonoscopy every 10 years, ages 45–75 years 28 9 4764 21.3098 $5013 Colonoscopy every 10 years, ages 50–75 years $33,900
 FIT yearly, ages 45–75 years 42 12 2194 18,253 21.3073 $3447 FIT yearly, ages 50–75 years $7700
 Sigmoidoscopy at 45 years; colonoscopy every 10 years, ages 50–75 years 31 10 4200 997 21.3047 $5047 Colonoscopy every 10 years, ages 50–75 years $55,900
 Sigmoidoscopy at 45, FIT yearly 50–75 40 11 2344 13,613 997 21.3056 $3956 FIT yearly, ages 50–75 years $49,900
 FIT yearly 45–49;colonoscopy every 10 years, ages 50–75 years 31 10 4062 4521 21.3033 $4554 Colonoscopy every 10 years, ages 50–75 years $2500
Screening starting at age 50 years
 Colonoscopy every 10 years, ages 50–75 years 33 10 4007 21.2954 $4526 No screening Dominatesa
 FIT yearly, ages 50–75 years 45 13 1926 15,011 21.2933 $3339 No screening Dominatesa
a

More effective and less costly than comparator. See Supplementary Materials for analysis of colonoscopy vs no screening as a function of CRC risk.