Tsuji I, Fukao A, Sugawara N, Shoji T, Kuwajima I, Hisamichi S
Department of Public Health, Tohoku University School of Medicine, Sendai, Japan.
Tohoku J Exp Med. 1991 Aug;164(4):279-84. doi: 10.1620/tjem.164.279.
Cost-effectiveness analysis of gastric cancer screening in Japan was performed, and the cost-effectiveness ratio was compared with that of colorectal cancer screening. The analytical model was the same as that adopted in our previous study on colorectal cancer screening (Tsuji et al. 1991). The results indicated that the cost per case-fatality prevented by colorectal cancer screening was 5.5 and 2.7 times more expensive for males and females, respectively, than that by gastric cancer screening. The age of the population influenced the cost-effectiveness of screening programs. The cost-effectiveness ratio in gastric cancer screening became negative among males older than the age of 65 years, suggesting that the total cost for prevention and control of deaths by gastric cancer in these age populations is saved by the screening program.
对日本胃癌筛查进行了成本效益分析，并将成本效益比与结直肠癌筛查的成本效益比进行了比较。分析模型与我们之前关于结直肠癌筛查的研究（Tsuji等人，1991年）中采用的模型相同。结果表明，结直肠癌筛查预防每例死亡的成本，男性比胃癌筛查分别贵5.5倍，女性贵2.7倍。人群年龄影响筛查项目的成本效益。在65岁以上的男性中，胃癌筛查的成本效益比变为负数，这表明在这些年龄人群中，通过筛查项目可节省胃癌预防和控制死亡的总成本。
