European Radiology

, 18:2485

CT colonography and cost-effectiveness

  • Ifigeneia Mavranezouli
  • James E. East
  • Stuart A. Taylor
Gastrointestinal

Abstract

CT colonography (CTC) is increasingly advocated as an effective initial screening tool for colorectal cancer. Nowadays, policy-makers are increasingly interested in cost-effectiveness issues. A number of studies assessing the cost-effectiveness of CTC have been published to date. The majority of findings indicate that CTC is probably not cost-effective when colonoscopy is available, but this conclusion is sensitive to a number of key parameters. This review discusses the findings of these studies, and considers those factors which most influence final conclusions, notably intervention costs, compliance rates, effectiveness of colonoscopy, and the assumed prevalence and natural history of diminutive advanced polyps.

Keywords

Colonography Computed tomography Colon polyps Colonoscopy Economics 

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Copyright information

© European Society of Radiology 2008

Authors and Affiliations

  • Ifigeneia Mavranezouli
    • 1
  • James E. East
    • 2
  • Stuart A. Taylor
    • 3
    • 4
  1. 1.National Collaborating Centre for Mental Health, Centre for Outcomes Research and Effectiveness, Sub-department of Clinical Health PsychologyUniversity College LondonLondonUK
  2. 2.Wolfson Unit for EndoscopySt Marks Hospital, Imperial College LondonLondonUK
  3. 3.Specialist X-RayUniversity College HospitalLondonUK
  4. 4.Department of ImagingUniversity College HospitalLondonUK

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