Estimating the cost related to surveillance of colorectal cancer in a French population.
Little is known about costs related to the surveillance of patients that have undergone curative resection of colorectal cancer. The aim of this study was to calculate the observed surveillance costs for 385 patients followed-up over a 3-year period, to estimate surveillance costs if French guidelines are respected, and to identify the determinants related to surveillance costs to derive a global estimation for France, using a linear mixed model. The observed mean surveillance cost was <euro> 713. If French recommendations were strictly applied, the estimated mean cost would vary between <euro> 680 and <euro> 1,069 according to the frequency of abdominal ultrasound. The predicted determinants of cost were: age, recurrence, duration of surveillance since diagnosis, and adjuvant treatments. For France, the surveillance cost represented 4.4% of the cost of colorectal cancer management. The cost of surveillance should now be balanced with its effectiveness and compared with surveillance alternatives.
Lejeune
Catherine
C
Faculté de Médecine, Inserm U866, 7 Bd Jeanne d'Arc, BP 87900, 21079 Dijon Cedex, France. catherine.lejeune@u-bourgogne.fr
Binquet
Christine
C
Bonnetain
Franck
F
Mahboubi
Amel
A
Abrahamowicz
Michal
M
Moreau
Thierry
T
Raikou
Maria
M
Bedenne
Laurent
L
Quantin
Catherine
C
Bonithon-Kopp
Claire
C
D000368:Aged; D015179:Colorectal Neoplasms / Q000453:epidemiology*; D003365:Costs and Cost Analysis; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000191:economics*; D008875:Middle Aged; D011159:Population Surveillance; D012042:Registries