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Economic Models of Colorectal Cancer Screening in Average-Risk Adults: Workshop Summary

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The National Cancer Policy Board and the Board on Science, Engineering, and Economic Policy convened a workshop in January 2004 on “Economic Models of Colorectal Cancer (CRC) Screening in Average-Risk Adults”. The purpose of the workshop was to explore the reasons for differences among leading cost-effectiveness analysis (CEA) models of CRC screening, which public health policy makers increasingly rely on to help them sift through the many choices confronting them. Participants discussed the results of a collaborative pre-workshop exercise undertaken by five research teams that have developed and maintained comprehensive models of CRC screening in average-risk adults, to gain insight into each model’s structure and assumptions and possible explanations for differences in their published analyses. Workshop participants also examined the current state of knowledge on key inputs to the models with a view toward identifying areas where further research may be warranted. This document summarized the presentations and discussion at the workshop.


Suggested Citation

Institute of Medicine and National Research Council. 2005. Economic Models of Colorectal Cancer Screening in Average-Risk Adults: Workshop Summary. Washington, DC: The National Academies Press.

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Publication Info

308 pages | 8.5 x 11
ISBN: 978-0-309-09539-6

Table of Contents

skim chapter
Front Matter i-viii
Workshop Summary 1-30
References 31-34
Appendix A Workshop Agenda: Economic Models of Colorectal Cancer Screening in Average-Risk Adults 35-36
Appendix B Workshop Participants 37-38
Appendix C Workshop Speaker and Staff Biographies 39-44
Appendix D Overview of Harvard Model--Karen M. Kuntz, ScD. 45-60
Appendix E Description of the Laudabaum Colorectal Cancer Screening Model--Uri Ladabaum, M.D., M.S. 61-72
Appendix F MISCAN-colon: An Overview--Marjolein van Ballegooijen, Iris Vogelaar, Rob Boer, Franka Loeve, Ann Zauber, Gerrit van Oortmar, and Dik Habbema 73-83
Appendix G The Vanderbilt Colorectal Cancer Model--R.M. Ness, R.W. Klein, R.S. Dittus 84-104
Appendix H Overview of the Vijan Colorectal Cancer Screening Model--Sandeep Vijan, M.D., M.S. 105-117
Appendix I Cost-Effectiveness Analyses of Colorectal Cancer Screening: Results from a Pre-conference Modeling Exercise--Michael Pignone, M.D., 118-153
Appendix J Recent Findings on Test Performance--Brian P. Mulhall, M.D., M.P.H. 154-188
Appendix K Cost Issues in Cost Effectiveness Modeling of Colorectal Cancer Screening--Martin L. Brown, Ph.D. 189-207
Appendix L Current Evidence on Compliance --Sally W. Vernon, M.A., Ph.D. 208-219
Appendix M Recent Trends in Follow-up Surveillance in Medicare Beneficiaries--Todd Anderson, M.S. 220-231
Appendix N Preliminary Results from CDC 232-240
Appendix O Colorectal Cancer Surveillance Testing After Polypectomy--Deborah Schrag, M.D., M.P.H. 241-262
Appendix P Natural History of Colorectal Adenomas and Cancer--T. R. Levin, M.D. 263-284
Appendix Q CISNET—Cancer Intervention and Surveillance--Eric J. (Rocky) Feuer, Ph.D. 285-300

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