Cost effectiveness and strategic planning (WHO-CHOICE)

AFR E: Cost effectiveness results for Colorectal cancer

This Table provides summary results of the total population-level costs, effects and cost-effectiveness for the selected WHO sub-region and risk factor / disease for the year 2005.

KEY
I$ - International Dollars
Program Costs include costs of administration, media, training etc
Patient Costs include costs of hospital visits, drugs, etc
Incremental cost-effectiveness ratio (ICER) is defined as the incremental change in cost, divided by the incremental change in effectiveness. ICERs are reported for the successive set of interventions that would be selected at expanding levels of resource availability, starting with the intervention with the lowest cost per DALY averted, then moving to the next most cost-effective combination intervention out of the remaining available set of interventions.
Dominated is used to denote an intervention that is more costly and/or less effective than other, more efficient (single or combined) interventions; i.e. dominated interventions do not appear on the expansion path of most cost-effective strategies.


Interventions:Codes_and_Descriptions Coverage Cost per year (I$, millions) per one million_population [i.e. cost per capita] % Program costs % Patient costs DALYs averted per year per one million_population Average Cost per DALY averted Incremental Cost per DALY averted
CRC-1: Screening with foecal occult blood test [FOB] annually and surgical removal of polyps 95% 0.95 38% 62% 149 6,358 Dominated
CRC-2: Screening with FOB BI-annually and surgical removal of polyps 95% 0.52 36% 64% 101 5,114 Dominated
CRC-3: Sigmoidoscopy Screening every 5 years & surgical removal of polyps 95% 0.61 8% 92% 136 4,443 Dominated
CRC-4: Colonoscopy screening every 10 years & surgical removal of polyps 95% 0.55 7% 93% 189 2,915 Dominated
CRC-5: Sigmoidoscopy Screening every 5 years, FOB annually & surgical removal of polyps 95% 1.25 29% 71% 183 6,797 Dominated
CRC-6: FOB at age 50 & surgical removal of polyps 95% 0.09 50% 50% 18 5,121 Dominated
CRC-7: Sigmoidoscopy at age 50 & surgical removal of polyps 95% 0.16 14% 86% 62 2,576 Dominated
CRC-8: Colonoscopy at age 50 & surgical removal of polyps 95% 0.32 7% 93% 136 2,362 Dominated
CRC-9: FOB & Sigmiodoscopy at age 50 & surgical removal of polyps 95% 0.21 21% 79% 69 3,047 Dominated
CRC-10: Treatment consisting of Surgery &/or Chemotherapy &/or Radiotherapy 95% 0.35 8% 92% 1,031 336 337
CRC-11: Screening with FOB annually and surgical removal of polyps and treatment 95% 1.26 30% 70% 1,146 1,098 Dominated
CRC-12: Screening with FOB BI-annually and surgical removal of polyps and treatment. 95% 0.84 25% 75% 1,113 752 Dominated
CRC-13: Sigmoidoscopy Screening every 5 years & surgical removal of polyps and treatment. 95% 0.81 9% 91% 1,113 731 Dominated
CRC-14: Colonoscopy screening every 10 years & surgical removal of polyps and treatment. 95% 0.87 7% 93% 1,138 766 9,598
CRC-15: Sigmoidoscopy Screening every 5 years and FOB annually & surgical removal of polyps and treatment. 95% 1.10 35% 65% 1,153 952 15,548
CRC-16: FOB at age 50 & surgical removal of polyps & treatment 95% 0.43 16% 84% 1,053 413 Dominated
CRC-17: Sigmoidoscopy at age 50 & surgical removal of polyps & treatment 95% 0.50 9% 91% 1,073 465 Dominated
CRC-18: Colonoscopy at age 50 & surgical removal of polyps & treatment 95% 0.65 7% 93% 1,115 585 3,630
CRC-19: FOB & Sigmiodoscopy at age 50 & surgical removal of polyps & treatment 95% 0.56 13% 87% 1,079 516 Dominated
CRC-20: Digital rectal examination every year & surgical removal of polyps 95% 0.17 56% 44% 14 11,841 Dominated
CRC-21: Digital rectal examination every year & surgical removal of polyps & treatment 95% 0.53 26% 74% 1,044 503 Dominated
CRC-22: Increase Fruit and vegetable consumption campaign 95% 0.08 100% 0% 9 8,579 Dominated
CRC-23: Increase Fruit and vegetable consumption campaign & treatment 95% 0.42 26% 74% 947 443 Dominated
CRC-24: Fruit and vegetable price subsidy 95% 14.69 0% 100% 8 1,818,094 Dominated
CRC-25: Fruit and vegetable price subsidy & treatment 95% 15.02 0% 100% 947 15,869 Dominated
CRC-26: Screening with FOB annually and surgical removal of polyps 80% 0.79 37% 63% 133 5,977 Dominated
CRC-27: Screening with FOB BI-annually and surgical removal of polyps 80% 0.43 36% 64% 90 4,816 Dominated
CRC-28: Sigmoidoscopy Screening every 5 years & surgical removal of polyps 80% 0.51 9% 91% 121 4,219 Dominated
CRC-29: Colonoscopy screening every 10 years & surgical removal of polyps 80% 0.47 7% 93% 168 2,770 Dominated
CRC-30: Sigmoidoscopy Screening every 5 years, FOB annually & surgical removal of polyps 80% 1.04 29% 71% 163 6,405 Dominated
CRC-31: FOB at age 50 & surgical removal of polyps 80% 0.08 50% 50% 16 4,891 Dominated
CRC-32: Sigmoidoscopy at age 50 & surgical removal of polyps 80% 0.14 15% 85% 55 2,467 Dominated
CRC-33: Colonoscopy at age 50 & surgical removal of polyps 80% 0.27 8% 92% 121 2,250 Dominated
CRC-34: FOB & Sigmiodoscopy at age 50 & surgical removal of polyps 80% 0.18 22% 78% 62 2,898 Dominated
CRC-35: Treatment consisting of Surgery &/or Chemotherapy &/or Radiotherapy 80% 0.27 8% 92% 792 336 336
CRC-36: Screening with FOB annually and surgical removal of polyps and treatment 80% 1.03 30% 70% 912 1,132 Dominated
CRC-37: Screening with FOB BI-annually and surgical removal of polyps and treatment. 80% 0.68 25% 75% 877 775 Dominated
CRC-38: Sigmoidoscopy Screening every 5 years & surgical removal of polyps and treatment. 80% 0.66 9% 91% 878 754 Dominated
CRC-39: Colonoscopy screening every 10 years & surgical removal of polyps and treatment. 80% 0.71 7% 93% 906 787 Dominated
CRC-40: Sigmoidoscopy Screening every 5 years and FOB annually & surgical removal of polyps and treatment. 80% 0.90 35% 65% 919 976 Dominated
CRC-41: FOB at age 50 & surgical removal of polyps & treatment 80% 0.34 17% 83% 815 419 Dominated
CRC-42: Sigmoidoscopy at age 50 & surgical removal of polyps & treatment 80% 0.40 10% 90% 837 474 Dominated
CRC-43: Colonoscopy at age 50 & surgical removal of polyps & treatment 80% 0.53 7% 93% 881 598 Dominated
CRC-44: FOB & Sigmiodoscopy at age 50 & surgical removal of polyps & treatment 80% 0.44 14% 86% 843 527 Dominated
CRC-45: Digital rectal examination every year & surgical removal of polyps 80% 0.14 56% 44% 13 11,305 Dominated
CRC-46: Digital rectal examination every year & surgical removal of polyps & treatment 80% 0.42 28% 72% 806 516 Dominated
CRC-47: Increase Fruit and vegetable consumption campaign 80% 0.06 100% 0% 7 8,375 Dominated
CRC-48: Increase Fruit and vegetable consumption campaign & treatment 80% 0.32 27% 73% 685 463 Dominated
CRC-49: Fruit and vegetable price subsidy 80% 12.37 0% 100% 6 1,937,820 Dominated
CRC-50: Fruit and vegetable price subsidy & treatment 80% 12.62 0% 100% 684 18,455 Dominated
CRC-51: Screening with FOB annually and surgical removal of polyps 50% 0.49 37% 63% 83 5,920 Dominated
CRC-52: Screening with FOB BI-annually and surgical removal of polyps 50% 0.27 35% 65% 56 4,797 Dominated
CRC-53: Sigmoidoscopy Screening every 5 years & surgical removal of polyps 50% 0.32 10% 90% 76 4,265 Dominated
CRC-54: Colonoscopy screening every 10 years & surgical removal of polyps 50% 0.29 8% 92% 105 2,807 Dominated
CRC-55: Sigmoidoscopy Screening every 5 years, FOB annually & surgical removal of polyps 50% 0.65 28% 72% 102 6,367 Dominated
CRC-56: FOB at age 50 & surgical removal of polyps 50% 0.05 53% 47% 10 5,159 Dominated
CRC-57: Sigmoidoscopy at age 50 & surgical removal of polyps 50% 0.09 19% 81% 34 2,576 Dominated
CRC-58: Colonoscopy at age 50 & surgical removal of polyps 50% 0.17 10% 90% 75 2,299 Dominated
CRC-59: FOB & Sigmiodoscopy at age 50 & surgical removal of polyps 50% 0.11 23% 77% 39 2,969 Dominated
CRC-60: Treatment consisting of Surgery &/or Chemotherapy &/or Radiotherapy 50% 0.13 12% 88% 351 382 Dominated
CRC-61: Screening with FOB annually and surgical removal of polyps and treatment 50% 0.61 32% 68% 444 1,381 Dominated
CRC-62: Screening with FOB BI-annually and surgical removal of polyps and treatment. 50% 0.39 28% 72% 417 946 Dominated
CRC-63: Sigmoidoscopy Screening every 5 years & surgical removal of polyps and treatment. 50% 0.39 11% 89% 422 919 Dominated
CRC-64: Colonoscopy screening every 10 years & surgical removal of polyps and treatment. 50% 0.42 9% 91% 446 945 Dominated
CRC-65: Sigmoidoscopy Screening every 5 years and FOB annually & surgical removal of polyps and treatment. 50% 0.53 37% 63% 452 1,172 Dominated
CRC-66: FOB at age 50 & surgical removal of polyps & treatment 50% 0.18 22% 78% 370 495 Dominated
CRC-67: Sigmoidoscopy at age 50 & surgical removal of polyps & treatment 50% 0.22 14% 86% 388 565 Dominated
CRC-68: Colonoscopy at age 50 & surgical removal of polyps & treatment 50% 0.30 10% 90% 424 712 Dominated
CRC-69: FOB & Sigmiodoscopy at age 50 & surgical removal of polyps & treatment 50% 0.25 17% 83% 393 631 Dominated
CRC-70: Digital rectal examination every year & surgical removal of polyps 50% 0.09 58% 42% 8 11,787 Dominated
CRC-71: Digital rectal examination every year & surgical removal of polyps & treatment 50% 0.23 33% 67% 364 629 Dominated
CRC-72: Increase Fruit and vegetable consumption campaign 50% 0.04 100% 0% 3 14,985 Dominated
CRC-73: Increase Fruit and vegetable consumption campaign & treatment 50% 0.17 35% 65% 265 641 Dominated
CRC-74: Fruit and vegetable price subsidy 50% 7.73 0% 100% 2 3,101,229 Dominated
CRC-75: Fruit and vegetable price subsidy & treatment 50% 7.86 0% 100% 265 29,694 Dominated
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