title: Projected costs of colorectal cancer treatment in New Zealand in the absence of population screening.
abstract: OBJECTIVE
  To estimate volumes and costs of health services required for new cases of colorectal cancers in New Zealand from 2014 to 2026 in the absence of population screening.
  
  
  METHODS
  Annual incidence of colorectal cancer, by stage, location and age was estimated for 2006-2026 based on NZ cancer registry data for 2001-2005. Treatment protocols were determined based on current best practice. An economics forecasting model was developed to estimate annual volumes and costs of health services to treat new cases of colorectal cancer expected to present each year from 2014 to 2026. Survival rates and other model parameters were drawn from the literature. Costs are presented at 2011 prices.
  
  
  RESULTS
  Annual health service costs of new colorectal cancer presentations in New Zealand are estimated to increase from approximately $83.6 million in 2014 to $100.2 million by 2026, if no systematic screening programme is introduced. The majority of these costs will be for surgery and colonoscopies.
  
  
  CONCLUSIONS
  These results provide a baseline against which to compare the level of resources required if a population screening programme is introduced. Planning is necessary to manage costs and services for colorectal cancer, even without a systematic population screening programme.
authors: Department of Population Health, University of Otago, Christchurch, PO Box 4345, Christchurch, New Zealand. ian.sheerin@otago.ac.nz.
authors: Ian
authors: I
authors: Sheerin
authors: Terri
authors: T
authors: Green
authors: Diana
authors: D
authors: Sarfati
authors: Brian
authors: B
authors: Cox
mesh_terms: D000328:Adult; D000368:Aged; D003113:Colonoscopy / Q000191:economics; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000191:economics* / Q000453:epidemiology / Q000628:therapy; D013505:Digestive System Surgical Procedures / Q000191:economics; D004358:Drug Therapy / Q000191:economics; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D009520:New Zealand / Q000453:epidemiology