Table 4 ICERs for other Patient-Directed Interventions to Improve Colorectal Cancer Screening
From: Cost-effectiveness of a mailed educational reminder to increase colorectal cancer screening
Study | Patients | Target Population | Target CRC screening test | Cost of Intervention | Intervention | Baseline Screening Rate | Change in Effectiveness | ICER |
|---|---|---|---|---|---|---|---|---|
Lee et al. 2009 | 775 | Veterans aged ≥ 50 years who were average risk for CRC | FOBT | Mailed Reminder | $2.49 | 48.4% | 16.2% | $15 |
Lewis et al. 2008 | 237 | Patients in a University-based practice age ≥50 years who were average risk for CRC | FOBT, FS, colonoscopy | Mailed package that included a letter from their PCP, a CRC screening decision aid, and instructions for obtaining each screening test without an office visit | $11 | 4% | 11% | $94 |
Lairson et al. 2007 | 1546 | Patients in a University-based practice ages 50-74 years who were average risk for CRC | FOBT, FS, colonoscopy barium enema | Patients randomized into 4 groups: control, standard group (SI) consisting of mailed informational brochure, invitation letter, FOBT cards, and reminder letter; tailored intervention (TI) consisting of standard intervention plus motivational messages based on patient-specific survey data; tailored interventions (TIP) consisting of tailored intervention plus reminder phone call | $42 for SI $150 for TI $200 for TIP | 33% | 13% for SI TI and TIP did not yield much significant change in effective ness | $319 for SI $5842 for TIP |
Shankaran et al. 2006 | 781 | Patients in a University-based practice ages ≥50 years who received referrals for screening colonoscopy | Colonoscopy | Mailed informational Brochure/Reminder | $5 | 59% | 12% | $43 |
Sequist et al. 2010 | 21,860 | Patients aged 50-80 years across 11 health centers who were average risk for CRC | FOBT, FS, colonoscopy | Patient mailing with FOBT kit, telephone line to schedule colonoscopy, and mailed reminder 6 months later | $5.48 | 38% | 6% | $94 |