A loss-effectiveness analysis of risk-adapted surveillance after colorectal polypectomy.
Surveillance of patients after initial polypectomy is considered as an effective means to prevent the development of colorectal carcinoma. Several proposals with varying follow-up schedules are given in the literature. Based on a growing awareness on possibilities to prevent colorectal cancer from developing, the discovery of colorectal adenoma and consequently the need for surveillance by colonoscopy will increase. In this paper, a strategy for a cost-effectiveness analysis of adenoma surveillance will be discussed. Obstacles to reach a conclusive result are pointed out, gaps in information needed are marked, modelling techniques used in a sound sensitivity analysis will be described.
Mansmann
U
U
Department of Medical Biometry, University of Heidelberg, Heidelberg, Germany.
D018256:Adenomatous Polyps / Q000191:economics* / Q000601:surgery; D000359:Aftercare / Q000191:economics*; D003111:Colonic Polyps / Q000191:economics* / Q000601:surgery; D003113:Colonoscopy / Q000191:economics*; D015179:Colorectal Neoplasms / Q000191:economics* / Q000601:surgery; D003362:Cost-Benefit Analysis; D005858:Germany; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000191:economics* / Q000601:surgery; D011785:Quality Assurance, Health Care / Q000191:economics*; D012306:Risk