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Comparative Effectiveness and Cost Effectiveness of a Multitarget Stool DNA Test to Screen for Colorectal Neoplasia Uri Ladabaum, Ajitha Mannalithara Gastroenterology Volume 151, Issue 3, Pages e6 (September 2016) DOI: /j.gastro Copyright © 2016 AGA Institute Terms and Conditions
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Figure 1 Effectiveness (discounted quality-adjusted life years per person) and cost (discounted dollars per person) for screening strategies. FIT with 100% consistent screening participation and without additional patient support costs was cost-saving compared with no screening. MT-sDNA achieved effectiveness similar to the other strategies given the same levels of patient participation, but it was more costly. Participation rates of 50% consistent screening and 27% intermittent screening are representative of successful organized screening programs, and the results for FIT with these participation rates include patient support costs of $153 per testing cycle. Gastroenterology , e6DOI: ( /j.gastro ) Copyright © 2016 AGA Institute Terms and Conditions
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Supplementary Figure 1 Schematic of the natural history module in the decision analytic model. The principal health states in the model are normal, small adenomatous polyp, large adenomatous polyp, localized colorectal cancer (CRC-L), regional colorectal cancer (CRC-R), disseminated colorectal cancer (CRC-D), alive after treatment for localized colorectal cancer (s/p CRC-L), alive after treatment for regional colorectal cancer (s/p CRC-R), and dead. Without screening, colorectal cancer is diagnosed and treated (Rx) only after symptoms (Sx) develop. Gastroenterology , e6DOI: ( /j.gastro ) Copyright © 2016 AGA Institute Terms and Conditions
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Supplementary Figure 2 Effectiveness (discounted QALYs/person) and cost (discounted dollars/person) for screening with MT-sDNA at progressively higher frequencies. Each arrow points to a line segment whose slope is the incremental cost per QALY gained of the shorter vs the longer screening interval that are represented by the 2 points joined by the line segment. Gastroenterology , e6DOI: ( /j.gastro ) Copyright © 2016 AGA Institute Terms and Conditions
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Supplementary Figure 3 Effectiveness (discounted QALYs/person) and cost (discounted dollars/person) for screening with MT-sDNA at progressively higher frequencies (sensitivity analysis with Medicare costs assumed for all ages). Each arrow points to a line segment whose slope is the incremental cost per QALY gained of the shorter vs the longer screening interval that are represented by the 2 points joined by the line segment. Gastroenterology , e6DOI: ( /j.gastro ) Copyright © 2016 AGA Institute Terms and Conditions
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Supplementary Figure 4 Effectiveness (discounted QALYs/person) and cost (discounted dollars/person) for screening strategies. Gastroenterology , e6DOI: ( /j.gastro ) Copyright © 2016 AGA Institute Terms and Conditions
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