Evidence map›Paper›PMID 23868481›Full record

ArticleCancer2013

Clinical costs of colorectal cancer screening in 5 federally funded demonstration programs.

Florence K L Tangka, Sujha Subramanian, Maggie C Beebe, Sonja Hoover, Janet Royalty, Laura C Seeff

Abstract readMulticenter Study
In one paragraph

Article in Cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
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  17. Colonoscopy in Colorectal Cancer Screening: Current Aspects.Indian journal of surgical oncology · 2015
    Review
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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

6 authors.

Florence K L TangkaDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia 30341-3724, USA. ftangka@cdc.gov
Sujha Subramanian
Maggie C Beebe
Sonja Hoover
Janet Royalty
Laura C Seeff

Funding

Intramural CDC HHS CC999999NIAAA NIH HHS RFA AA030PHS HHS 200-2002-00575
6 · The paper itself

Abstract

backgroundThe Centers for Disease Control and Prevention initiated the Colorectal Cancer Screening Demonstration Program (CRCSDP) to explore the feasibility of establishing a large-scale colorectal cancer (CRC) screening program for underserved populations in the United States. The authors of this report assessed the clinical costs incurred at each of the 5 participating sites during the demonstration period.

methodsBy using data on payments to providers by each of the 5 CRCSDP sites, the authors estimated costs for specific clinical services and overall clinical costs for each of the 2 CRC screening methods used by the sites: colonoscopy and fecal occult blood test (FOBT).

resultsAmong CRCSDP clients who were at average risk for CRC and for whom complete cost data were available, 2131 were screened by FOBT, and 1888 were screened by colonoscopy. The total average clinical cost per individual screened by FOBT (including costs for screening, diagnosis, initial surveillance, office visits, and associated clinical services averaged across all individuals who received screening FOBT) ranged from $48 in Nebraska to $149 in Greater Seattle. This compared with an average clinical cost per individual for all services related to the colonoscopy screening ranging from $654 in St. Louis to $1600 in Baltimore City.

conclusionsVariations in how sites contracted with providers and in the services provided through CRCSDP affected the cost of clinical services and the complexity of collecting cost data. Health officials may find these data useful in program planning and budgeting.

Indexed as

Centers for Disease Control and Prevention, U.S.ColonoscopyColorectal NeoplasmsCost-Benefit AnalysisEarly Detection of CancerHumansOccult BloodRisk FactorsUnited Statescancer screening programclinical costcolorectal cancercost assessment

Identifiers

PMID23868481
PMCPMC4731092

What OpenQuestion holds

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Registered trials

None linked

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.