Cost-Effectiveness of Community-to-Clinic Tailored Navigation for Colorectal Cancer Screening in an Underserved Population: Economic Evaluation Alongside a Group-Randomized Trial.
Cost-Effectiveness of Community-to-Clinic Tailored Navigation for Colorectal Cancer Screening in an Underserved Population: Economic Evaluation Alongside a Group-Randomized Trial.
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DOI：
10.1177/08901171211068454
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发表时间：
2022-05
影响因子：
2.7
通讯作者：
Larkey, Linda
中科院分区：
文献类型：
--
作者：
Herman, Patricia M.;Bucho-Gonzalez, Julie;Menon, Usha;Szalacha, Laura A.;Larkey, Linda
关键词：
虽然结直肠癌筛查可以降低死亡率和发病率，而且通常具有成本效益，但人们对筛查推广的成本效益知之甚少。与一组随机试验同时进行的成本效果分析。亚利桑那州凤凰城地区的多元文化、保险不足的社区。说英语或西班牙语的成年人不符合CRC筛查指南。所有参与者都接受了以社区为基础的团体教育(GE)，干预组还接受了量身定制的社区到诊所的导航(GE+TN)。接受筛查的参与者数量和定制导航、诊所就诊和CRC筛查测试的费用。从医疗保健系统的角度筛选的每个额外人员的增量成本，具有自举的置信度区间。社区站点被招募并随机分为GE(n=120)和GE+TN(n=119)。在这些站点中，筛选了1154人，504人符合条件，345人参加了团体教育课程(n=134 Ge；n=211 Ge+Tn)。筛查率(26.5%GE+TN；10.4%GE；16.1%增加95%CI：7%，23%)和每位参与者的成本(271 GE+TN；167 GE；净成本增加104美元(95%可信区间：1,189美元)，干预组明显更高。每增加一名筛查人员的增量成本效益为646美元(95%可信区间：-68美元，953美元)。根据额外筛查人员的价值，在社区为基础的CRC筛查促进计划中增加社区到诊所的定制导航可能是非常划算的。
Although screening for colorectal cancer (CRC) lowers mortality and morbidity and is generally cost-effective, little is known about the cost-effectiveness of screening promotion. Cost-effectiveness analysis alongside a group-randomized trial. Multicultural, underinsured communities in the Phoenix, Arizona, area. English or Spanish speaking adults who were out of compliance for CRC screening guidelines. All participants received community-based group education (GE) and the intervention group also received tailored community-to-clinic navigation (GE+TN). Number of participants screened and costs of tailored navigation, clinic visits, and CRC screening tests. Incremental cost per additional person screened from the perspective of the healthcare system with bootstrapped confidence intervals. Community sites were recruited and randomized to GE (n=120) and GE+TN (n=119). Across these sites 1,154 individuals were screened, 504 were eligible, and 345 attended the group education class (n=134 GE; n=211 GE+TN). Screening rates (26.5% GE+TN; 10.4% GE; 16.1% increase 95% CI: 7%, 23%) and costs per participant ($271 GE+TN; $167 GE;. a net cost increase of $104 95% CI: $1, $189) were significantly higher in the intervention group. Incremental cost-effectiveness was $646 (95% CI: -$68, $953) per additional person screened. Depending on the value placed on an additional person screened, the addition of community-to-clinic tailored navigation to a community-based CRC screening promotion program may be highly cost-effective.
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DOI：
10.1017/s0266462305050221
发表时间：
2005-03-01
影响因子：
3.2
作者：
Drummond, M;Manca, A;Sculpher, M
通讯作者：
Sculpher, M
影响因子：
--
作者：
Brawarsky, P;Brooks, DR;Wood, PA
通讯作者：
Wood, PA
影响因子：
1.9
作者：
Coughlin, Steven S.;Thompson, Trevor
通讯作者：
Thompson, Trevor
影响因子：
6.2
作者：
Ladabaum, Uri;Mannalithara, Ajitha;Itzkowitz, Steven H.
通讯作者：
Itzkowitz, Steven H.
影响因子：
4.5
作者：
Kim, Bumyang;Lairson, David R.;Shokar, Navkiran K.
通讯作者：
Shokar, Navkiran K.