Uncertainty analysis of cost effectiveness in a tailored intervention to promote screening for colorectal cancer
Abstract
Background. Screening for colorectal cancer (CRC) is considered cost effective but screening compliance in the US remains low. There have been very few studies on economic analyses of screening promotion strategies for colorectal cancer. The main aim of the current study is to conduct a cost effectiveness analysis (CEA) and examine the uncertainty involved in the results of the CEA of a tailored intervention to promote screening for CRC among patients of a multispeciality clinic in Houston, TX. Methods. The two intervention arms received a PC based tailored program and web based educational information to promote CRC screening. The incremental cost of implementing a tailored PC based program was compared to the website based education and the status quo of no intervention for each unit of effect after 12 months of delivering the intervention. Uncertainty analysis in the point estimates of cost and effect was conducted using nonparametric bootstrapping. Results. The cost of implementing a web based educational intervention was $36.00 per person and the cost of the tailored PC based interactive intervention was $43.00 per person. The additional cost per person screened for the web-based strategy was $2374 and the effect of the tailored intervention was negative.
Subject Area
Public health|Health care|Oncology
Recommended Citation
Misra, Swati, "Uncertainty analysis of cost effectiveness in a tailored intervention to promote screening for colorectal cancer" (2008). Texas Medical Center Dissertations (via ProQuest). AAI1454393.
https://digitalcommons.library.tmc.edu/dissertations/AAI1454393