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.
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| 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 |