Navigated intervention for CRC screening effective but costly

PharmacoEconomics & Outcomes News 695, p7 - 1 Feb 2014 Navigated intervention for CRC screening effective but costly A tailored navigation intervention (TNI) is more effective than a standard intervention (SI) to increase colorectal cancer (CRC) screening rates but the associated costs per additional individual screened are substantially higher. These are the main findings from a study, conducted in primary-care practices in Delaware, US, between 2007 and 2011, that compared the cost effectiveness of two interventions designed to increase CRC screening use. Patients non-compliant with CRC screening at baseline were selected and randomised to three groups: the TNI group (n = 312) who received instructions for scheduling a colonoscopy, a stool blood test or both based on their test preference followed by a navigation telephone call; the SI group (316) received colonoscopy instructions and stool blood tests irrespective of baseline preference; and the usual-care control group (317). Screening rates at 12 months were 42.6% in the TNI group, 36.4% in the SI group and 18% in the control group. Intervention costs were substantially higher in the TNI group, compared with the SI group ($US289 vs $167 per individual; 2011 values). The cost per additional individual screened for the SI group compared with the control group was $906. The cost per additional individual screened for the TNI group compared with the SI group was $1958. Decision- makers need to decide whether the extra resources required for navigation are worth the investment, comment the researchers. Lairson DR, et al. Cost-effectiveness of a standard intervention versus a navigated intervention on colorectal cancer screening use in primary care. Cancer : 16 Jan 2014 803098829 1 PharmacoEconomics & Outcomes News 1 Feb 2014 No. 695 1173-5503/14/0695-0001/$14.95 Adis © 2014 Springer International Publishing AG. All rights reserved

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Transcript of Navigated intervention for CRC screening effective but costly

PharmacoEconomics & Outcomes News 695, p7 - 1 Feb 2014

Navigated intervention for CRCscreening effective but costly

A tailored navigation intervention (TNI) is moreeffective than a standard intervention (SI) to increasecolorectal cancer (CRC) screening rates but theassociated costs per additional individual screened aresubstantially higher.

These are the main findings from a study, conductedin primary-care practices in Delaware, US, between2007 and 2011, that compared the cost effectiveness oftwo interventions designed to increase CRC screeninguse. Patients non-compliant with CRC screening atbaseline were selected and randomised to three groups:the TNI group (n = 312) who received instructions forscheduling a colonoscopy, a stool blood test or bothbased on their test preference followed by a navigationtelephone call; the SI group (316) received colonoscopyinstructions and stool blood tests irrespective ofbaseline preference; and the usual-care control group(317).

Screening rates at 12 months were 42.6% in the TNIgroup, 36.4% in the SI group and 18% in the controlgroup. Intervention costs were substantially higher inthe TNI group, compared with the SI group ($US289 vs$167 per individual; 2011 values). The cost peradditional individual screened for the SI groupcompared with the control group was $906. The costper additional individual screened for the TNI groupcompared with the SI group was $1958. Decision-makers need to decide whether the extra resourcesrequired for navigation are worth the investment,comment the researchers.Lairson DR, et al. Cost-effectiveness of a standard intervention versus a navigatedintervention on colorectal cancer screening use in primary care. Cancer : 16 Jan2014 803098829