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一般风险人群中结直肠癌筛查的成本效益

Cost-effectiveness of colorectal cancer screening in the average risk population.

作者信息

Leshno Moshe, Halpern Zamir, Arber Nadir

机构信息

Faculty of Management and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.

出版信息

Health Care Manag Sci. 2003 Aug;6(3):165-74. doi: 10.1023/a:1024488007043.

Abstract

Colorectal cancer (CRC) is a leading cause of cancer death in North America and in Israel. Risk of CRC increases exponentially with age starting at the age of 50 years. Therefore, people older than 50 years are being considered as an average risk population for CRC. The objective of this study was to obtain an improved assessment of the cost-effectiveness analysis of screening for CRC in the average risk population by using a more accurate technique, namely the Partially Observed Markov Decision Process (POMDP). We conducted a cost-effectiveness analysis within the specific probability rates and costs in Israel. This study revealed that it is highly cost-effective to screen average-risk asymptomatic individuals.

摘要

结直肠癌(CRC)是北美和以色列癌症死亡的主要原因。CRC的风险从50岁开始随年龄呈指数增长。因此,50岁以上的人群被视为CRC的平均风险人群。本研究的目的是通过使用一种更准确的技术,即部分观察马尔可夫决策过程(POMDP),来改进对平均风险人群中CRC筛查成本效益分析的评估。我们在以色列特定的概率率和成本范围内进行了成本效益分析。这项研究表明,对平均风险无症状个体进行筛查具有很高的成本效益。

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