Aim: Analyze the impact of national implementation of 'low intensity' post-treatment colorectal cancer surveillance compared with current practices. Materials & methods: Create a population-level Markov model to estimate impacts of expansion of low versus high intensity surveillance post-treatment on healthcare utilization, costs and caregiver time loss. Results: Shifting to low intensity colorectal cancer surveillance would reduce patient burden by 301,830 h per patient annually over 5 years. Cost reductions over 5 years were US$43.5 million for Medicare and US$4.2 million for Medicaid. Total societal cost savings equaled US$104.2 million. Conclusion: National implementation of low intensity post-treatment colorectal cancer surveillance has the potential to significantly reduce burden and costs on patients and their caregivers with no added risks to health.
An economic evaluation of reducing colorectal cancer surveillance intensity
Allaire, B., Skinner, R., King, G., Honeycutt, A., & Esposito, D. (2022). An economic evaluation of reducing colorectal cancer surveillance intensity. Journal of Comparative Effectiveness Research, 11(2), 99-107. https://doi.org/10.2217/cer-2021-0065
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