Quantifying the cost savings and health impacts of improving colonoscopy quality: an economic evaluation.

ABSTRACT:

Objective

To estimate and quantify the cost implications and health impacts of improving the performance of English endoscopy services to the optimum quality as defined by postcolonoscopy colorectal cancer (PCCRC) rates.

Design

A semi-Markov state-transition model was constructed, following the logical treatment pathway of individuals who could potentially undergo a diagnostic colonoscopy. The model consisted of three identical arms, each representing a high, middle or low-performing trust's endoscopy service, defined by PCCRC rates. A cohort of 40-year-old individuals was simulated in each arm of the model. The model's time horizon was when the cohort reached 90 years of age and the total costs and quality-adjusted life-years (QALYs) were calculated for all trusts. Scenario

SUBMITTER: McCarthy S 

PROVIDER: S-EPMC12229050 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature