29. Health Service Interventions for Cancer Control in Developing Countries

Table 29.2: Estimates of the Cost-Effectiveness of Colorectal Cancer Screening Interventions, United States (cost-effectiveness ratios expressed as 2000 US$/YLS)

Estimates of the Cost-Effectiveness of Colorectal Cancer Screening Interventions, United States (cost-effectiveness ratios expressed as 2000 US$/YLS)
Colorectal screening test	Wagner and others 1996	Frazier and others 2000	Khandker and others 2000	Sonnenberg, Delco, and Inadomi 2000	Vijan and others 2001
Annual fecal occult blood test	11,725	17,805	13,656	10,463	5,691
Flexible sigmoidoscopy every 5 years	12,477	15,630	12,804	39,359	19,058
Flexible sigmoidoscopy every 5 years and annual fecal occult blood test	13,792	22,518	18,693	n.a.	17,942
Double-contrast barium enema every 5 years	11,168	21,712	25,624	n.a.	n.a.
Colonoscopy every 10 years	10,933	21,889	22,012	11,840	9,038

Source: Pignone and others 2002.

n.a. = not applicable.

Note: All costs and life years are discounted at 3 percent, except in the study by Wagner and others (1996), who use a discount rate of 5 percent.