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Knudsen AB, Rutter CM, Peterse EFP, et al. Colorectal Cancer Screening: An Updated Decision Analysis for the U.S. Preventive Services Task Force [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2021 May. (Technical Report, No. 202s.)

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Colorectal Cancer Screening: An Updated Decision Analysis for the U.S. Preventive Services Task Force [Internet].

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Appendix Table 9.5cEstimated Outcomes for 10-Yearly Sigmoidoscopy Plus Interval FIT Strategies: MISCAN

StrategyOutcomes per 1000 unscreened 40-year-olds free from diagnosed colorectal cancerDLG
Stool testsSIGsCTCsScreening COLsOther COLs*Total COLsComplicationsCRC casesCRC deathsLYGQALYG
No screening0000818128134000
SIG+FIT 45-70, 10_11381220550021482148114010292261107
SIG+FIT 45-70, 10_2796522090019471947114211280250102
SIG+FIT 45-75, 10_1154662393002331233113379304272111
SIG+FIT 45-75, 10_291172593002130213012399294262108
SIG+FIT 45-80, 10_1166832393002379237913378307274112
SIG+FIT 45-80, 10_296732593002154215412399296264108
SIG+FIT 45-85, 10_1176342570002463246314378309275113
SIG+FIT 45-85, 10_2103362795002235223514398298265109
SIG+FIT 50-70, 10_11083119000019841984114010282251103
SIG+FIT 50-70, 10_2648220380018351835114211274243100
SIG+FIT 50-75, 10_11235719000020482048123910287255105
SIG+FIT 50-75, 10_2717720380018671867114110277246101
SIG+FIT 50-80, 10_1136762161002185218513388293260107
SIG+FIT 50-80, 10_280982335002005200513409284251104
SIG+FIT 50-85, 10_1145482161002218221814388294260107
SIG+FIT 50-85, 10_284962335002021202113409284251104
SIG+FIT 55-70, 10_179441389001680168011431225022291
SIG+FIT 55-70, 10_246221462001547154710451324121388
SIG+FIT 55-75, 10_196251730001871187112401026323396
SIG+FIT 55-75, 10_257921851001739173912421125622593
SIG+FIT 55-80, 10_1108511730001920192013401026623597
SIG+FIT 55-80, 10_263511851001764176412421025822794
SIG+FIT 55-85, 10_111807190800200420041440926823698
SIG+FIT 55-85, 10_270182054001847184714421026022895

COL – colonoscopy; SIG – sigmoidoscopy; FIT – fecal immunochemical test with a cutoff for positivity of 20 μg of hemoglobin per g of feces; CTC – computed tomographic colonography; CRC – colorectal cancer; LYG – life-years gained compared with no screening; QALYG – quality-adjusted life-years gained compared with no screening; DLG – days of life gained per person, compared with no screening

*

Colonoscopies for follow-up, surveillance, and symptom diagnosis

Includes deaths from complications of screening

Note: Analyses assume an increased population risk of colorectal cancer based on an incidence rate ratio comparing colorectal cancer incidence among 20- to 44-year-olds in 2012-2016 vs 1975-1979 of 1.19.

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