Comparative benefit and cost-effectiveness of mailed-out faecal immunochemical tests vs collection at the general practitioner.

ABSTRACT:

Background

Participation in the colorectal cancer screening programme in France has been well below the 45% considered acceptable by European guidelines, potentially attributable to the need to collect the faecal immunochemical test (FIT) at the general practitioner.

Aim

To estimate the potential benefits and costs of including the FIT in the invitation letter.

Methods

A well-established microsimulation model was used to simulate the French population 35 years and older in 2018. We estimated quality-adjusted life-years (QALY) gained, costs and cost-effectiveness of the current screening programme, and compared it to a variation of the programme where the FIT was mailed to participants and adherence was assumed to increase to 45%. We also estimated the threshold increa

SUBMITTER: Peterse EFP 

PROVIDER: S-EPMC8522169 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature