| Studies | Most Effective Strategy 1 | Preferred Strategy if Willing to Pay:2 | |||
|---|---|---|---|---|---|
| Less than $20,000 per life-year saved | $20-30,000 per life-year saved | $30-50,000 per life-year saved | $50-100,000 per life-year saved | ||
| Wagner et al. 1996 (6) (alternative)3 | FOBT + FS5 | COL q106 | COL q10 | FOBT + FS | FOBT + FS |
| Frazier et al. 2000 (8) | FOBT + FS | FOBT q17 | FOBT q1 | FOBT + FS | FOBT + FS |
| Khandker et al. 2000 (9) | COL q10 | FS q58 | FS q5 | FOBT q1 | COL q10 |
| Sonnenberg et al. 2000 (10) | COL q10 | COL q10 | COL q10 | COL q10 | COL q10 |
| Vijan et al. 2001 (11) | FOBT + FS | FOBT q1 | FOBT q1 | COL 55/654 | COL 55/65 |
1Most effective strategy=largest number of life-years saved among five main strategies.
2All costs in year 2000 dollars.
3Using sensitivity of DCBE=50 percent rather than 70 percent used in base-case.
4Colonoscopy at ages 55 and 65 only. All costs in year 2000 U.S. dollars.
Abbreviations
5FOBT + FS: Annual FOBT and FS every 5 years.
6COL q10: Colonoscopy every 10 years.
7FOBT q1: Annual fecal occult blood test.
8FS q5: Flexible sigmoidoscopy every 5 years.
DCBE q5: Double contrast barium enema every 5 years.