Table 2. Model Results for Ages 30 and 45 Years.
Characteristic | Cases/100 000 | Cost/woman screened, $ | Quality-adjusted life years/woman screened | Life-years/woman screened | ICER, $ | ||
---|---|---|---|---|---|---|---|
Early-stage cancer | Late-stage cancer | Total cancer | |||||
Screened at age 30 y | |||||||
Population screening, base case without cascade testing (95% CR) | 143 (111 to 172) | 13 642 (12 897 to 14 363) | 13 786 (13 040 to 14 512) | 14 400 (13 100 to 15 900) | 25.7990 (25.6830 to 25.9219) | 25.9200 (25.8297 to 26.0395) | NA |
Family history–based testing, base case without cascade testing (95% CR) | 26 (19 to 34) | 13 827 (13 083 to 14 555) | 13 853 (13 109 to 14 583) | 14 200 (12 800 to 15 600) | 25.7964 (25.6799 to 25.9198) | 25.9179 (25.8268 to 26.0382) | NA |
Incremental | |||||||
Base case without cascade testing (95% CR) | 117 (90 to 141) | −184 (−210 to −152) | −67 (−82 to −51) | 240 (200 to 290) | 0.0026 (0.0015 to 0.0038) | 0.0022 (0.0011 to 0.0032) | No cascade testing: 92 600 |
Cascade testing (95% CR) | 21 (14 to 30) | −29 (−41 to −20) | −8 (−12 to −5) | 9 (6 to 13) | 0.0003 (0.0002 to 0.0004) | 0.0002 (0.0001 to 0.0003) | With cascade testing: 87 700 |
Screened at age 45 y | |||||||
Population screening, base case without cascade testing (95% CR) | 169 (124 to 203) | 12 762 (12 024 to 13 499) | 12 930 (12 198 to 13 672) | 18 500 (16 800 to 20 300) | 21.7245 (21.5895 to 21.8776) | 21.8706 (21.7607 to 22.0169) | NA |
Family history–based testing, base case without cascade testing (95% CR) | 31 (22 to 40) | 12 916 (12 181 to 13 657) | 12 947 (12 213 to 13 686) | 18 300 (16 600 to 20 100) | 21.7238 (21.5883 to 21.8768) | 21.8698 (21.7597 to 22.0167) | NA |
Incremental | |||||||
Base case without cascade testing (95% CR) | 138 (100 to 167) | −154 (−184 to −114) | −16 (−20 to −10) | 250 (210 to 290) | 0.0007 (0.0000 to 0.0014) | 0.0008 (0.0000 to 0.0016) | No cascade testing: 354 500 |
Cascade testing (95% CR) | 21 (14 to 30) | −29 (−41 to −19) | −8 (−11 to −5) | 10 (7 to 14) | 0.0003 (0.0002 to 0.0004) | 0.0002 (0.0001 to 0.0003) | With cascade testing: 268 200 |
Abbreviations: CR, credible range; ICER, incremental cost-effectiveness ratio; NA, not applicable.