Journal
RADIOLOGIC CLINICS OF NORTH AMERICA
Volume 51, Issue 1, Pages 89-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.rcl.2012.09.006
Keywords
Colorectal cancer screening; Colonoscopy; CT colonography
Funding
- NCI NIH HHS [R01 CA144835] Funding Source: Medline
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Simulation modeling is extensively applied to CT colonography (CTC) to define its long-term efficacy and cost-effectiveness for colorectal cancer (CRC) screening. CTC is effective in reducing CRC incidence and mortality (40%-77% and 58%-84%, respectively). Several factors may explain this variability. CTC is cost-effective compared with no screening, indicating that it represents an attractive test noncompliance with the available options. CTC needs to achieve a higher attendance rate or cost less than colonoscopy to be cost-effective relative to colonoscopy. Fortunately, both conditions appear to be achievable if CTC becomes a widely utilized and reimbursed screening tool.
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