Evidence map›Paper›PMID 20236531›Full record

ArticleCost effectiveness and resource allocation : C/E2010

Prevention, screening and treatment of colorectal cancer: a global and regional generalized cost effectiveness analysis.

Gary M Ginsberg, Stephen S Lim, Jeremy A Lauer, Benjamin P Johns, Cecilia R Sepulveda

Abstract read
In one paragraph

Article in Cost effectiveness and resource allocation : C/E, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Life Beyond 65: Changing Spatial Patterns of Survival at Older Ages in the United States, 2000-2016.The journals of gerontology. Series B, Psychological sciences and social sciences · 2020
    Article
  6. Review
  7. Article
  8. An enrichment model using regular health examination data for early detection of colorectal cancer.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2019
    Article
  9. Review
  10. Article
  11. Observational
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Gary M GinsbergCosts, Effectiveness, Expenditure and Priority Setting, World Health Organization, Geneva, Switzerland. ginsbergg@moh.health.gov.il
Stephen S Lim
Jeremy A Lauer
Benjamin P Johns
Cecilia R Sepulveda

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegional generalized cost-effectiveness estimates of prevention, screening and treatment interventions for colorectal cancer are presented.

methodsStandardised WHO-CHOICE methodology was used. A colorectal cancer model was employed to provide estimates of screening and treatment effectiveness. Intervention effectiveness was determined via a population state-transition model (PopMod) that simulates the evolution of a sub-regional population accounting for births, deaths and disease epidemiology. Economic costs of procedures and treatment were estimated, including programme overhead and training costs.

resultsIn regions characterised by high income, low mortality and high existing treatment coverage, the addition of screening to the current high treatment levels is very cost-effective, although no particular intervention stands out in cost-effectiveness terms relative to the others.In regions characterised by low income, low mortality with existing treatment coverage around 50%, expanding treatment with or without screening is cost-effective or very cost-effective. Abandoning treatment in favour of screening (no treatment scenario) would not be cost effective.In regions characterised by low income, high mortality and low treatment levels, the most cost-effective intervention is expanding treatment.

conclusionsFrom a cost-effectiveness standpoint, screening programmes should be expanded in developed regions and treatment programmes should be established for colorectal cancer in regions with low treatment coverage.

Identifiers

PMID20236531
PMCPMC2850877

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.