Optimal colorectal cancer screening in states' low-income, uninsured populations—the case of South Carolina.

ABSTRACT:

Objective

To determine whether, given a limited budget, a state's low-income uninsured population would have greater benefit from a colorectal cancer (CRC) screening program using colonoscopy or fecal immunochemical testing (FIT).

Data sources/study setting

South Carolina's low-income, uninsured population.

Study design

Comparative effectiveness analysis using microsimulation modeling to estimate the number of individuals screened, CRC cases prevented, CRC deaths prevented, and life-years gained from a screening program using colonoscopy versus a program using annual FIT in South Carolina's low-income, uninsured population. This analysis assumed an annual budget of $1 million and a budget availability of 2 years as a base case.

Principal findings

The annual FIT

SUBMITTER: van der Steen A 

PROVIDER: S-EPMC4450929 | biostudies-literature | 2015 Jun

REPOSITORIES: biostudies-literature