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. 2021 Aug 17;4(8):e2121403. doi: 10.1001/jamanetworkopen.2021.21403

Table 2. Base-Case Cost-effectiveness Results Compared Among Different Strategies by Initial Screening Age Among 100 000 Cohort Membersa.

Initial screening age, strategy QALYs Incremental QALYs Cost ($, thousand) Incremental cost ($, thousand) ICER ($/QALY)
Vs no screening Vs the next most effective strategyb Vs no screening Vs the next most effective strategyb Vs no screening Vs the next most effective strategyb
40-44 y
No screening 1 659 260 NA NA 25 035 NA NA NA NA
Screening once per lifetime 1 660 347 1087 1087 28 334 3299 3299 3035 3035
Screening every 10 y 1 663 677 4417 3330 31 954 6919 3620 1566 1087
Screening every 5 y 1 666 345 7085 2668 36 707 11 672 4753 1647 1781
Screening every 3 y 1 668 371 9111 2026 42 218 17 183 5511 1886 2720
Screening every 2 y 1 669 622 10 362 1251 47 861 22 826 5643 2203 4511
45-49 y
No screening 1 572 532 NA NA 26 817 NA NA NA NA
Screening once per lifetime 1 574 161 1629 1629 30 347 3530 3530 2167 2167
Screening every 10 y 1 576 941 4409 2780 33 961 7144 3614 1620 1300
Screening every 5 y 1 579 145 6613 2204 37 745 10 928 3784 1653 1717
Screening every 3 y 1 580 974 8442 1829 42 531 15 714 4786 1861 2617
Screening every 2 y 1 582 334 9802 1360 48 190 21 373 5659 2180 4161
50-54 y
No screening 1 468 506 NA NA 30 229 NA NA NA NA
Screening once per lifetime 1 470 890 2384 2384 34 142 3913 3913 1641 1641
Screening every 10 y 1 472 583 4077 1693 36 373 6144 2231 1507 1318
Screening every 5 y 1 474 773 6267 2190 40 356 10 127 3983 1616 1819
Screening every 3 y 1 476 325 7819 1552 44 120 13 891 3764 1777 2425
Screening every 2 y 1 477 651 9145 1326 49 010 18 781 4890 2054 3688
55-59 y
No screening 1 342 830 NA NA 36 095 NA NA NA NA
Screening once per lifetime 1 346 031 3201 3201 40 491 4396 4396 1373 1373
Screening every 10 y 1 347 264 4434 1233 42 811 6716 2320 1515 1882
Screening every 5 y 1 348 747 5917 1483 45 240 9145 2429 1546 1638
Screening every 3 y 1 350 365 7535 1618 49 171 13 076 3931 1735 2430
Screening every 2 y 1 351 491 8661 1126 52 843 16 748 3672 1934 3261
60-64 y
No screening 1 195 742 NA NA 45 876 NA NA NA NA
Screening once per lifetime 1 199 618 3876 3876 51 081 5205 5205 1343 1343
Screening every 5 y 1 201 091 5349 1473 53 970 8094 2889 1513 1961
Screening every 3 y 1 202 293 6551 1202 56 498 10 622 2528 1621 2103
Screening every 2 y 1 203 210 7468 917 58 779 12 903 2281 1728 2487
65-69 y
No screening 1 025 119 NA NA 60 442 NA NA NA NA
Screening once per lifetime 1 029 058 3939 3939 67 233 6791 6791 1724 1724
Screening every 2 y 1 030 594 5475 1536 70 810 10 368 3577 1894 2329

Abbreviations: ICER, incremental cost-effectiveness ratio; NA, not applicable; QALY, quality-adjusted life-year.

a

QALYs, costs, and ICERs are expressed as the values in 2019.

b

Compared with the next most effective strategy at the same initial screening age.