ArticleCancer2015
Cost-effectiveness of patient navigation to increase adherence with screening colonoscopy among minority individuals.
Article in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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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.
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.
Who cites it
24 citing papers in PubMed.
- Cost-Effectiveness of Community-to-Clinic Tailored Navigation for Colorectal Cancer Screening in an Underserved Population: Economic Evaluation Alongside a Group-Randomized Trial.American journal of health promotion : AJHP · 2022Trial
- Effectiveness and Cost of Organized Outreach for Colorectal Cancer Screening: A Randomized, Controlled Trial.Journal of the National Cancer Institute · 2020Trial
- Assessing Colorectal Cancer Screening Barriers by Two Methods.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Trial
- Patient navigation in neuro-oncology: A scoping review of programs supporting patients with CNS tumors.Equity neuroscience · 2026Article
- The Development of a Digital Patient Navigation Tool to Increase Colorectal Cancer Screening Among Federally Qualified Health Center Patients: Acceptability and Usability Testing.JMIR formative research · 2024Article
- Evaluating Uptake of Evidence-Based Interventions in 355 Clinics Partnering With the Colorectal Cancer Control Program, 2015-2018.Preventing chronic disease · 2022Article
- Bridging the Gap: Patient Navigation Increases Colonoscopy Follow-up After Abnormal FIT.Clinical and translational gastroenterology · 2021Article
- Evolution of a longitudinal, multidisciplinary, and scalable patient navigation matrix model.Cancer medicine · 2020Review
- The case for philanthropic investment to increase colorectal cancer screening rates: A novel paradigm to address a public health challenge.Cancer medicine · 2020Article
- Leveraging system sciences methods in clinical trial evaluation: An example concerning African American women diagnosed with breast cancer via the Patient Navigation in Medically Underserved Areas study.Contemporary clinical trials communications · 2019Article
- Cost-Effectiveness and National Effects of Initiating Colorectal Cancer Screening for Average-Risk Persons at Age 45 Years Instead of 50 Years.Gastroenterology · 2019Article
- Long-Term Impact of a Culturally Tailored Patient Navigation Program on Disparities in Breast Cancer Screening in Refugee Women After the Program's End.Health equity · 2019Article
- Observational
- Economic evaluation of patient navigation programs in colorectal cancer care, a systematic review.Health economics review · 2018Review
- The Role of Patient Navigation on Colorectal Cancer Screening Completion and Education: a Review of the Literature.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Review
- Colorectal cancer screening: An updated review of the available options.World journal of gastroenterology · 2017Review
- Costs of promoting cancer screening: Evidence from CDC's Colorectal Cancer Control Program (CRCCP).Evaluation and program planning · 2017Article
- Inadequate Utilization of Diagnostic Colonoscopy Following Abnormal FIT Results in an Integrated Safety-Net System.The American journal of gastroenterology · 2017Article
- Editorial: Financial Incentives to Improve Colorectal Cancer Screening: Does it Make Cents?The American journal of gastroenterology · 2016Article
- Knowledge of Polyp History and Recommended Follow-Up Among a Predominately African American Patient Population and the Impact of Patient Navigation.Journal of racial and ethnic health disparities · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundColorectal cancer (CRC) screening is underused by minority populations, and patient navigation increases adherence with screening colonoscopy. In this study, the authors estimated the cost-effectiveness of navigation for screening colonoscopy from the perspective of a payer seeking to improve population health.
methodsA validated model of CRC screening was informed with inputs from navigation studies in New York City (population: 43% African American, 49% Hispanic, 4% white, 4% other; base-case screening: 40% without navigation, 65% with navigation; navigation costs: $29 per colonoscopy completer, $21 per noncompleter, $3 per non-navigated individual). Two analyses compared: 1) navigation versus no navigation for 1-time screening colonoscopy in unscreened individuals aged ≥ 50 years; and 2) programs of colonoscopy with versus without navigation versus fecal occult blood testing (FOBT) or fecal immunochemical testing (FIT) for individuals ages 50 to 80 years.
resultsIn the base case: 1) 1-time navigation gained quality-adjusted life-years (QALYs) and decreased costs; 2) longitudinal navigation cost $9800 per QALY gained versus no navigation, and, assuming comparable uptake rates, it cost $118,700 per QALY gained versus FOBT but was less effective and more costly than FIT. The results were most dependent on screening participation rates and navigation costs: 1) assuming a 5% increase in screening uptake with navigation, and a navigation cost of $150 per completer, 1-time navigation cost $26,400 per QALY gained; and 2) longitudinal navigation with 75% colonoscopy uptake cost <$25,000 per QALY gained versus FIT when FIT uptake was <50%. Probabilistic sensitivity analyses did not alter the conclusions.
conclusionsNavigation for screening colonoscopy appears to be cost-effective, and 1-time navigation may be cost-saving. In emerging health care models that reward outcomes, payers should consider covering the costs of navigation for screening colonoscopy.
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