title: [Costs and benefits of screening for colorectal tumors using the Hemoccult test in asymptomatic individuals 45-60 years of age].
abstract: Screening of colorectal tumours by the Haemoccult test (HT) in asymptomatic subjects aged 45-60 years makes it possible to assess the diagnosis of colorectal carcinoma (CR-CA) in two-thirds of the affected subjects in Dukes stage A and B, as compared with one third of symptomatic patients of the same age group. The mean diagnostic and therapeutic costs related to the relative incidence of individual stages of Dukes staging of CR-CA in screened asymptomatic individuals and symptomatic patients are approximately equal. The analysis is not concerned with costs of care after surgical and supplementary treatment which are considerable in subjects with the advanced form of the disease. Its incidence is significantly higher in symptomatic patients. The mean expected productive age under 60 years is in symptomatic patients 2.604 years and in asymptomatic individuals 4.357 years. The mean national product assembled during this period is 468.720 Kcs and 784.260 Kcs resp. The difference in favour of one asymptomatic subject in the analyzed group is 38,495.880 Kcs. These facts fully justify further extension of screening programmes of CR-CA in our population.
authors.affiliation: Laborator gastroenterologie 1. lékarské fakulty Univerzity Karlovy, Praha.
authors.forename: P
authors.initials: P
authors.lastname: Fric
authors.forename: V
authors.initials: V
authors.lastname: Zoubek
authors.forename: H
authors.initials: H
authors.lastname: Dvoráková
authors.forename: Z
authors.initials: Z
authors.lastname: Roth
mesh_terms: D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000191:economics; D003362:Cost-Benefit Analysis; D003604:Czechoslovakia; D006801:Humans; D008875:Middle Aged; D009780:Occult Blood
vernacular_title: Náklady a uzitek depistáze kolorektálních nádorů Haemoccult testem u asymptomatických jedinců ve vĕku 45-60 let.