Evidence map›Paper›PMID 26350285›Full record

ArticleAbdominal imaging2015

Medicare cost of colorectal cancer screening: CT colonography vs. optical colonoscopy.

Bruce Pyenson, Perry J Pickhardt, Tia Goss Sawhney, Michele Berrios

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Abdominal imaging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% of its field
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  14. Screening and Surveillance of Colorectal Cancer Using CT Colonography.Current treatment options in gastroenterology · 2017
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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

4 authors at 2 institutions in 1 country.

Bruce PyensonMilliman, One Pennsylvania Plaza, 38th Floor, New York, NY, 10019, USA. bruce.pyenson@milliman.com.
Perry J PickhardtUniversity of Wisconsin School of Medicine & Public Health, Madison, WI, USA.
Tia Goss SawhneyMilliman, One Pennsylvania Plaza, 38th Floor, New York, NY, 10019, USA.
Michele BerriosMilliman, One Pennsylvania Plaza, 38th Floor, New York, NY, 10019, USA.
Milliman (United States) · USUniversity of Wisconsin–Madison · US

Funding

Virtual Colonoscopy and Colorectal Cancer ScreeningR01CA144835 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI PICKHARDT, PERRY, SMITH, MAUREEN A · 2010 to 2013
$2.1M
6 · The paper itself

Abstract

purposeTo compare the Medicare population cost of colorectal cancer (CRC) screening of average risk individuals by CT colonography (CTC) vs. optical colonoscopy (OC).

methodsThe authors used Medicare claims data, fee schedules, established protocols, and other sources to estimate CTC and OC per-screen costs, including the costs of OC referrals for a subset of CTC patients. They then modeled and compared the Medicare costs of patients who complied with CTC and OC screening recommendations and tested alternative scenarios.

resultsCTC is 29% less expensive than OC for the Medicare population in the base scenario. Although the CTC cost advantage is increased or reduced under alternative scenarios, it is always positive.

conclusionCTC is a cost-effective CRC screening option for the Medicare population and will likely reduce Medicare expenditures for CRC screening.

Indexed as

AgedColonography, Computed TomographicColonoscopyColorectal NeoplasmsCost-Benefit AnalysisEarly Detection of CancerFemaleHumansMaleMass ScreeningMedicareUnited StatesCost-effectivenessCostsCT colonographyMedicareOptical colonoscopy

Identifiers

PMID26350285
PMCPMC4628615
OpenAlexW2148836121

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.