Table 3:
Lifetime predicted loss of benefit and harms due to screening delays.
CRC Incidence per 10,000 | Life Years Gained per 10,000 | Number of Colonoscopies per 10,000 | ||||||
---|---|---|---|---|---|---|---|---|
Scenario | Overall | Late Stage (III or IV) | ||||||
No screening | 23.7 | 11.6 | ------- | ------- | ||||
Guideline concordant, relative to no screening | 7.7 | 2.3 | 2,727.1 | 464.4 | ||||
Change in lifetime outcomes, relative to guideline-concordant screening | Absolute and (Percent) Difference, Relative to Guideline-Concordant Screening | |||||||
3-month delay in follow-up colonoscopy after an abnormal FIT | 0.1 | (1.2%) | 0.1 | (2.6%) | −0.4 | (−0.0%) | −4.1 | (−0.9%) |
3-month delay in receipt of surveillance colonoscopy | 0.1 | (0.7%) | 0.0 | (1.1%) | −11.2 | (−0.4%) | −6.9 | (−1.5%) |
6-month delay in receipt of surveillance colonoscopy | 0.1 | (1.3%) | 0.0 | (1.1%) | −11.4 | (−0.4%) | −12.6 | (−2.7%) |
1-year delay in return to screening after normal surveillance or follow-up colonoscopy | 0.1 | (1.2%) | 0.1 | (2.4%) | −14.1 | (−0.5%) | −4.4 | (−0.9%) |
6-month delay in follow-up colonoscopy after an abnormal FIT | 0.2 | (2.0%) | 0.1 | (4.5%) | −31.9 | (−1.2%) | −6.4 | (−1.4%) |
1 year delay in screening initiation | 0.3 | (3.8%) | 0.1 | (4.6%) | −44.1 | (−1.6%) | −12.5 | (−2.7%) |
3-month delay in return to FIT screening after a normal FIT | 0.7 | (8.9%) | 0.1 | (6.1%) | −59.6 | (−2.2%) | −33.5 | (−7.2%) |
5-year delay in return to screening after normal surveillance or follow-up colonoscopy | 0.5 | (6.3%) | 0.3 | (12.1%) | −63.2 | (−2.3%) | −20.3 | (−4.4%) |
Consistent modest delays | 1.3 | (16.3%) | 0.4 | (17.9%) | −154.7 | (−5.7%) | −58.5 | (−12.6%) |
6-month delay in return to FIT screening after a normal FIT | 1.6 | (20.4%) | 0.5 | (20.2%) | −155.0 | (−5.7%) | −70.1 | (−15.1%) |
5-year delay in screening initiation | 1.7 | (21.7%) | 0.6 | (26.8%) | −337.0 | (−12.4%) | −65.3 | (−14.1%) |
Consistent large delays | 3.7 | (48.6%) | 1.5 | (64.1%) | −612.3 | (−22.5%) | −150.3 | (−32.4%) |