Cost effectiveness and strategic planning (WHO-CHOICE)

SEAR D: 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% 1.58 49% 51% 102 15,525 Dominated
CRC-2: Screening with FOB BI-annually and surgical removal of polyps 95% 0.84 46% 54% 69 12,304 Dominated
CRC-3: Sigmoidoscopy Screening every 5 years & surgical removal of polyps 95% 0.81 9% 91% 92 8,824 Dominated
CRC-4: Colonoscopy screening every 10 years & surgical removal of polyps 95% 0.74 6% 94% 124 6,014 Dominated
CRC-5: Sigmoidoscopy Screening every 5 years, FOB annually & surgical removal of polyps 95% 1.97 39% 61% 124 15,859 Dominated
CRC-6: FOB at age 50 & surgical removal of polyps 95% 0.15 58% 42% 12 12,633 Dominated
CRC-7: Sigmoidoscopy at age 50 & surgical removal of polyps 95% 0.20 10% 90% 41 4,938 Dominated
CRC-8: Colonoscopy at age 50 & surgical removal of polyps 95% 0.43 6% 94% 89 4,795 Dominated
CRC-9: FOB & Sigmiodoscopy at age 50 & surgical removal of polyps 95% 0.31 28% 72% 46 6,747 Dominated
CRC-10: Treatment consisting of Surgery &/or Chemotherapy &/or Radiotherapy 95% 0.31 4% 96% 868 362 362
CRC-11: Screening with FOB annually and surgical removal of polyps and treatment 95% 1.86 42% 58% 936 1,985 Dominated
CRC-12: Screening with FOB BI-annually and surgical removal of polyps and treatment. 95% 1.14 35% 65% 917 1,242 Dominated
CRC-13: Sigmoidoscopy Screening every 5 years & surgical removal of polyps and treatment. 95% 0.96 9% 91% 915 1,046 Dominated
CRC-14: Colonoscopy screening every 10 years & surgical removal of polyps and treatment. 95% 1.04 5% 95% 926 1,124 28,017
CRC-15: Sigmoidoscopy Screening every 5 years and FOB annually & surgical removal of polyps and treatment. 95% 1.63 48% 52% 939 1,735 42,940
CRC-16: FOB at age 50 & surgical removal of polyps & treatment 95% 0.46 21% 79% 880 525 Dominated
CRC-17: Sigmoidoscopy at age 50 & surgical removal of polyps & treatment 95% 0.51 6% 94% 891 574 8,291
CRC-18: Colonoscopy at age 50 & surgical removal of polyps & treatment 95% 0.73 4% 96% 914 794 9,318
CRC-19: FOB & Sigmiodoscopy at age 50 & surgical removal of polyps & treatment 95% 0.67 23% 77% 895 753 Dominated
CRC-20: Digital rectal examination every year & surgical removal of polyps 95% 0.22 59% 41% 10 22,133 Dominated
CRC-21: Digital rectal examination every year & surgical removal of polyps & treatment 95% 0.67 42% 58% 875 761 Dominated
CRC-22: Increase Fruit and vegetable consumption campaign 95% 0.03 100% 0% 5 6,903 Dominated
CRC-23: Increase Fruit and vegetable consumption campaign & treatment 95% 0.34 13% 87% 825 413 Dominated
CRC-24: Fruit and vegetable price subsidy 95% 8.85 0% 100% 4 2,343,130 Dominated
CRC-25: Fruit and vegetable price subsidy & treatment 95% 9.16 0% 100% 824 11,112 Dominated
CRC-26: Screening with FOB annually and surgical removal of polyps 80% 1.26 46% 54% 86 14,696 Dominated
CRC-27: Screening with FOB BI-annually and surgical removal of polyps 80% 0.67 43% 57% 58 11,685 Dominated
CRC-28: Sigmoidoscopy Screening every 5 years & surgical removal of polyps 80% 0.68 8% 92% 78 8,770 Dominated
CRC-29: Colonoscopy screening every 10 years & surgical removal of polyps 80% 0.63 6% 94% 104 5,998 Dominated
CRC-30: Sigmoidoscopy Screening every 5 years, FOB annually & surgical removal of polyps 80% 1.59 36% 64% 104 15,182 Dominated
CRC-31: FOB at age 50 & surgical removal of polyps 80% 0.12 56% 44% 10 11,938 Dominated
CRC-32: Sigmoidoscopy at age 50 & surgical removal of polyps 80% 0.17 10% 90% 35 4,944 Dominated
CRC-33: Colonoscopy at age 50 & surgical removal of polyps 80% 0.36 6% 94% 75 4,792 Dominated
CRC-34: FOB & Sigmiodoscopy at age 50 & surgical removal of polyps 80% 0.25 26% 74% 39 6,566 Dominated
CRC-35: Treatment consisting of Surgery &/or Chemotherapy &/or Radiotherapy 80% 0.23 4% 96% 598 387 Dominated
CRC-36: Screening with FOB annually and surgical removal of polyps and treatment 80% 1.47 40% 60% 676 2,171 Dominated
CRC-37: Screening with FOB BI-annually and surgical removal of polyps and treatment. 80% 0.89 34% 66% 654 1,368 Dominated
CRC-38: Sigmoidoscopy Screening every 5 years & surgical removal of polyps and treatment. 80% 0.77 8% 92% 653 1,182 Dominated
CRC-39: Colonoscopy screening every 10 years & surgical removal of polyps and treatment. 80% 0.85 5% 95% 666 1,269 Dominated
CRC-40: Sigmoidoscopy Screening every 5 years and FOB annually & surgical removal of polyps and treatment. 80% 1.27 46% 54% 679 1,876 Dominated
CRC-41: FOB at age 50 & surgical removal of polyps & treatment 80% 0.35 21% 79% 613 571 Dominated
CRC-42: Sigmoidoscopy at age 50 & surgical removal of polyps & treatment 80% 0.40 6% 94% 626 638 Dominated
CRC-43: Colonoscopy at age 50 & surgical removal of polyps & treatment 80% 0.58 4% 96% 652 891 Dominated
CRC-44: FOB & Sigmiodoscopy at age 50 & surgical removal of polyps & treatment 80% 0.52 22% 78% 630 828 Dominated
CRC-45: Digital rectal examination every year & surgical removal of polyps 80% 0.17 58% 42% 8 21,306 Dominated
CRC-46: Digital rectal examination every year & surgical removal of polyps & treatment 80% 0.50 42% 58% 608 828 Dominated
CRC-47: Increase Fruit and vegetable consumption campaign 80% 0.02 100% 0% 3 7,586 Dominated
CRC-48: Increase Fruit and vegetable consumption campaign & treatment 80% 0.24 14% 86% 505 483 Dominated
CRC-49: Fruit and vegetable price subsidy 80% 7.45 0% 100% 3 2,782,584 Dominated
CRC-50: Fruit and vegetable price subsidy & treatment 80% 7.67 0% 100% 505 15,206 Dominated
CRC-51: Screening with FOB annually and surgical removal of polyps 50% 0.70 39% 61% 53 13,069 Dominated
CRC-52: Screening with FOB BI-annually and surgical removal of polyps 50% 0.38 37% 63% 36 10,476 Dominated
CRC-53: Sigmoidoscopy Screening every 5 years & surgical removal of polyps 50% 0.42 7% 93% 49 8,685 Dominated
CRC-54: Colonoscopy screening every 10 years & surgical removal of polyps 50% 0.39 5% 95% 65 5,982 Dominated
CRC-55: Sigmoidoscopy Screening every 5 years, FOB annually & surgical removal of polyps 50% 0.90 30% 70% 65 13,857 Dominated
CRC-56: FOB at age 50 & surgical removal of polyps 50% 0.07 50% 50% 6 10,701 Dominated
CRC-57: Sigmoidoscopy at age 50 & surgical removal of polyps 50% 0.11 11% 89% 22 5,002 Dominated
CRC-58: Colonoscopy at age 50 & surgical removal of polyps 50% 0.23 6% 94% 47 4,806 Dominated
CRC-59: FOB & Sigmiodoscopy at age 50 & surgical removal of polyps 50% 0.15 22% 78% 24 6,245 Dominated
CRC-60: Treatment consisting of Surgery &/or Chemotherapy &/or Radiotherapy 50% 0.12 6% 94% 274 425 Dominated
CRC-61: Screening with FOB annually and surgical removal of polyps and treatment 50% 0.80 34% 66% 336 2,396 Dominated
CRC-62: Screening with FOB BI-annually and surgical removal of polyps and treatment. 50% 0.49 30% 70% 319 1,534 Dominated
CRC-63: Sigmoidoscopy Screening every 5 years & surgical removal of polyps and treatment. 50% 0.45 8% 92% 321 1,407 Dominated
CRC-64: Colonoscopy screening every 10 years & surgical removal of polyps and treatment. 50% 0.50 5% 95% 333 1,505 Dominated
CRC-65: Sigmoidoscopy Screening every 5 years and FOB annually & surgical removal of polyps and treatment. 50% 0.69 41% 59% 341 2,012 Dominated
CRC-66: FOB at age 50 & surgical removal of polyps & treatment 50% 0.18 22% 78% 288 633 Dominated
CRC-67: Sigmoidoscopy at age 50 & surgical removal of polyps & treatment 50% 0.22 8% 92% 299 744 Dominated
CRC-68: Colonoscopy at age 50 & surgical removal of polyps & treatment 50% 0.34 5% 95% 321 1,052 Dominated
CRC-69: FOB & Sigmiodoscopy at age 50 & surgical removal of polyps & treatment 50% 0.28 20% 80% 302 931 Dominated
CRC-70: Digital rectal examination every year & surgical removal of polyps 50% 0.10 55% 45% 5 19,935 Dominated
CRC-71: Digital rectal examination every year & surgical removal of polyps & treatment 50% 0.26 40% 60% 284 901 Dominated
CRC-72: Increase Fruit and vegetable consumption campaign 50% 0.02 100% 0% 1 14,818 Dominated
CRC-73: Increase Fruit and vegetable consumption campaign & treatment 50% 0.13 20% 80% 194 653 Dominated
CRC-74: Fruit and vegetable price subsidy 50% 4.66 0% 100% 1 4,452,865 Dominated
CRC-75: Fruit and vegetable price subsidy & treatment 50% 4.77 0% 100% 194 24,558 Dominated
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