Return on investment of free colorectal cancer screening tests in a primarily rural uninsured or underinsured population in Northeast Texas

dc.contributor.authorOrsak, Gabriela
dc.contributor.authorMiller, Anastasia
dc.contributor.authorAllen, Carlton M.
dc.contributor.authorSing, Karan P.
dc.contributor.authorMcGaha, Paul
dc.date.accessioned2019-10-07T19:05:32Z
dc.date.available2019-10-07T19:05:32Z
dc.date.issued2019
dc.descriptionArticle originally published in PharmacoEconomics - Open, 4(1), 71–77. English. Published Online 2019. https://doi.org/10.1007/s41669-019-0147-y
dc.description.abstractBACKGROUND: Colorectal cancer (CRC) is the third most common cancer in the USA. Its economic impact is extensive, and preventive screening services are warranted to help prevent it.en_US
dc.description.abstractOBJECTIVE: We sought to examine the return on investment, in terms of reduced costs attributed to cancer prevention, of a CRC screening outreach program providing education and screening in a primarily rural region targeting the uninsured and underinsured.
dc.description.abstractMETHODS: The expenditures of the Northeast Texas CRC screening program were calculated for the years of 2016 and 2017. Prices ($US) were adjusted for inflation and converted to year 2017 values. The costs saved were calculated using the estimated costs of CRC care present in the literature.
dc.description.abstractRESULTS: For fiscal years 2016 and 2017, the program provided an average return of $US1.46–2.06 for every tax dollar spent. Estimated cost avoidance was $US165,080 per avoided case and estimated cost avoidance of $US245,601 among early-stage cancer cases detected, resulting in potential savings ranging from $US3,893,676 to $US4,837,923.
dc.description.abstractCONCLUSION: A CRC outreach program providing education and screening operating in less densely populated regions yields a positive return on investment.
dc.identifier.citationThis is the published version of an article that is available at https://doi.org/10.1007/s41669-019-0147-y. Recommended citation: Orsak, G., Miller, A., Allen, C. M., Singh, K. P., & McGaha, P. (2019). Return on investment of free colorectal cancer screening tests in a primarily rural uninsured or underinsured population in Northeast Texas. PharmacoEconomics - Open, 4(1), 71–77. This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.en_US
dc.identifier.urihttps://doi.org/10.1007/s41669-019-0147-y
dc.identifier.urihttps://hdl.handle.net/11274/11864
dc.language.isoen_USen_US
dc.publisherSpringerNatureen_US
dc.rights.licenseCC-BY-NC
dc.subjectFecal Immunochemical Testing (FIT)
dc.subjectAdenomatous polyps
dc.subjectMultiple screening methods
dc.titleReturn on investment of free colorectal cancer screening tests in a primarily rural uninsured or underinsured population in Northeast Texasen_US
dc.typeArticleen_US

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