Should colorectal cancer screening be considered in elderly persons without previous screening? A cost-effectiveness analysis.

ABSTRACT:

Background

The U.S. Preventive Services Task Force recommends against routine screening for colorectal cancer (CRC) in adequately screened persons older than 75 years but does not address the appropriateness of screening in elderly persons without previous screening.

Objective

To determine at what ages CRC screening should be considered in unscreened elderly persons and to determine which test is indicated at each age.

Design

Microsimulation modeling study.

Data sources

Observational and experimental studies.

Target population

Unscreened persons aged 76 to 90 years with no, moderate, and severe comorbid conditions.

Time horizon

Lifetime.

Perspective

Societal.

Intervention

One-time colonoscopy, sigmoidoscopy, or fecal immunochemical t

SUBMITTER: van Hees F 

PROVIDER: S-EPMC4109030 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature