| Theme | Current Status and Future Perspectives of Endoscopic Screening | |
|---|---|---|
| Title | Cost‒effectiveness of Colorectal Cancer Screening | |
| Publish Date | 2017/11 | |
| Author | Masau Sekiguchi | Cancer Screening Center, National Cancer Center Hospital / Endoscopy Division, National Cancer Center Hospital / Division of Screening Technology, Center for Public Health Sciences, National Cancer Center |
| Author | Takahisa Matsuda | Cancer Screening Center, National Cancer Center Hospital / Endoscopy Division, National Cancer Center Hospital / Division of Screening Technology, Center for Public Health Sciences, National Cancer Center |
| [ Summary ] | Colorectal cancer screening is known as an effective strategy to reduce colorectal cancer mortality. For the implementation of population‒based colorectal cancer screening, cost‒effectiveness is an important factor to consider. In order to evaluate the cost‒effectiveness of colorectal cancer screening, the method of the simulation model analysis is widely used. In several foreign countries, including the US and several EU countries, cost‒effectiveness of colorectal cancer screening has been well examined in many studies using the simulation model analysis, and some countries have adopted the results of the studies for policies pertaining to their population‒based colorectal cancer screening. On the other hand, in Japan, there have been few cost‒effective analyses of colorectal cancer screening. Recently, however, a simulationmodel analysis using Japanese clinical and cost data has indicated that the current Japanese population‒based colorectal cancer screening using the fecal immunochemical test can be more cost‒effective than no screening, and that the cost‒effectiveness of the screening may improve with more frequent use of colonoscopy. To establish an optimal colorectal cancer screening program from the perspective of cost‒effectiveness, future collaborations of investigators from various fields will be indispensable. | |