广东惠州地区大肠癌疾病负担研究

目的对大肠癌筛查项目进行成本效益分析，为大肠癌筛查的广泛推广提供依据。方法收集2011-2016年上海市徐汇区社区居民大肠癌筛查数据，通过测算筛查成本、筛查效益、成本效果、净效益、效益成本比，分析大肠癌筛查成本效益。结果徐汇区大肠癌筛查初筛人均成本为18.20元，平均每发现1例

Prevention of colorectal cancer by colonoscopic polypectomy

ObjectiveThe colorectal cancer screening was investigated by the analysis of cost-benefit in the light of health economics, so as to obtain a scientific basis for development and promotion of colorectal cancer screening.MethodsThis study was based on the data from colorectal cancer screening in Xuhui District in Shanghai from 2011 to 2016, through estimation of cost, benefit, cost effectiveness, net benefit, cost-effectiveness ratio and analysis of the cost-effectiveness of colorectal cancer screening by the method of benefit ratio.ResultsThe average cost of 1 case in the first round of the colorectal cancer screening was 18.20 yuan in Xuhui District.The average cost for finding a case of high risk case was 111.82 yuan, for finding a case of adenomatous lesions 9 755.94 yuan, and for finding a case of colorectal cancer 59 866.02 yuan.The colorectal cancer screening benefit cost was 8 568 100 yuan, the benefit cost ratio was 2.63.ConclusionThe economic benefit of the colorectal cancer screening is much more than the cost, so carrying out the screening for high-risk groups and high-risk areas of colorectal cancer is beneficial.