Cost savings in mass population screening for colorectal cancer resulting from the early detection and excision of adenomas.

Abstract:

:The widely-accepted hypothesis of a development sequence from colorectal adenoma to carcinoma is felt by clinicians to legitimate adenoma excision during routine colonoscopic investigation. Using published data on adenoma development, and adenoma prevalence data derived from the Nottingham colorectal cancer screening trial, the number of carcinomas prevented by early excision as a result of screening is predicted. The cost-effectiveness of early excision is then evaluated with reference to the expected treatment costs saved. These cost savings are found to represent a discount on the overall costs of mass population screening for colorectal cancer.

journal_name

Health Econ

journal_title

Health economics

authors

Whynes DK,Walker AR,Hardcastle JD

doi

10.1002/hec.4730010108

keywords:

subject

Has Abstract

pub_date

1992-04-01 00:00:00

pages

53-60

issue

1

eissn

1057-9230

issn

1099-1050

journal_volume

1

pub_type

临床试验,杂志文章
  • How common is the 'prominence effect'? Additional evidence to Whynes et al.

    abstract::In a recent issue of Health Economics Letters, Whynes et al. report an observation not previously reported in the willingness-to-pay (WTP) literature; that when people are asked to provide an estimate using payment scales they tend to disproportionately select prominent values (that is, 1, 2, 5, 10, 20, 50, 100, etc.)...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1062

    authors: Covey J,Smith RD

    更新日期:2006-02-01 00:00:00

  • Childhood Obesity and Cognitive Achievement.

    abstract::Obese children tend to perform worse academically than normal-weight children. If poor cognitive achievement is truly a consequence of childhood obesity, this relationship has significant policy implications. Therefore, an important question is to what extent can this correlation be explained by other factors that joi...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3211

    authors: Black N,Johnston DW,Peeters A

    更新日期:2015-09-01 00:00:00

  • Empirical Testing of the External Validity of a Discrete Choice Experiment to Determine Preferred Treatment Option: The Case of Sleep Apnea.

    abstract::There is an increasing use of the discrete choice experiment (DCE) method in health care to estimate preferences of individuals and the public for different services. Despite this increasing use, there are few studies that investigate the validity of the DCE in health. This study investigates the external validity of ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3076

    authors: Krucien N,Gafni A,Pelletier-Fleury N

    更新日期:2015-08-01 00:00:00

  • Does social capital determine health? Evidence from eight transition countries.

    abstract::There is growing interest in the role of social relationships in explaining patterns of health. We contribute to this debate by investigating the impact of social capital on self-reported health for eight countries from the Commonwealth of Independent States. We rely on three indicators of social capital at the indivi...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1445

    authors: d'Hombres B,Rocco L,Suhrcke M,McKee M

    更新日期:2010-01-01 00:00:00

  • The black box of health care expenditure growth determinants.

    abstract::In this paper, the determinants of growth of aggregate health expenditures are investigated. The study departs from previous literature in that it looks at differences across countries in growth (and not levels) of health care expenditures. Estimation is made for 24 OECD countries. Health system characteristics usuall...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1050(199809)7:6<533::aid-hec374

    authors: Barros PP

    更新日期:1998-09-01 00:00:00

  • Constraints on Formulary Design Under the Affordable Care Act.

    abstract::I study the effect of prescription drug essential health benefits (EHB) requirements from the Affordable Care Act on prescription drug formularies of health insurance marketplace plans. The EHB regulates the number of drugs covered but leaves other dimensions (cost sharing and utilization management) of the formulary ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3491

    authors: Andersen M

    更新日期:2017-12-01 00:00:00

  • When do fat taxes increase consumer welfare?

    abstract::Previous analyses of fat taxes have generally worked within an empirical framework in which it is difficult to determine whether consumers benefit from the policy. This note outlines on simple means to determine whether consumers benefit from a fat tax by comparing the ratio of expenditures on the taxed good to the we...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1789

    authors: Lusk JL,Schroeter C

    更新日期:2012-11-01 00:00:00

  • A social cost-benefit criterion for evaluating Voluntary Counseling and Testing with an application to Tanzania.

    abstract:RATIONALE:There are many interventions for HIV/AIDS that require that people know their status and hence require a HIV test. Testing that is driven by a desire to prevent the spread of the disease often has an indirect effect on others. These external effects need to be identified, quantified and included as part of th...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1457

    authors: Brent RJ

    更新日期:2010-02-01 00:00:00

  • The impact of including future medical care costs when estimating the costs attributable to a disease: a colorectal cancer case study.

    abstract::A source of controversy in the economic literature concerns whether to include or exclude future medical care costs when computing attributable costs for lifesaving interventions. Although it is hypothesized that including future medical care costs will offset the cost savings achieved through prevention, the magnitud...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.580

    authors: Etzioni R,Ramsey SD,Berry K,Brown M

    更新日期:2001-04-01 00:00:00

  • The male-female gap in physician earnings: evidence from a public health insurance system.

    abstract::Empirical evidence from US studies suggests that female physicians earn less than their male counterparts, on average. The earnings gap does not disappear when individual and market characteristics are controlled for. This paper investigates whether a gender earnings difference can also be observed in a health-care sy...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1663

    authors: Theurl E,Winner H

    更新日期:2011-10-01 00:00:00

  • Where there's smoking, there's fire: the effects of smoking policies on the incidence of fires in the USA.

    abstract::Fires and burns are among the leading causes of unintentional death in the USA. Most of these deaths occur in residences, and cigarettes are a primary cause. In this paper, I explore the relationship between smoking, cigarette policies, and fires. As smoking rates decline, there are fewer opportunities for fires; howe...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2990

    authors: Markowitz S

    更新日期:2014-11-01 00:00:00

  • Cost-effectiveness analysis of alternative treatments of African gambiense trypanosomiasis in Uganda.

    abstract::African trypanosomiasis, or sleeping sickness, is a tropical disease caused by trypanosome parasites transmitted by tsetse flies. The focus of this paper is on the cost-effectiveness of alternative drug treatments for patients in the late stage of the disease. Melarsoprol has been used for many decades. More recently,...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4730040404

    authors: Politi C,Carrín G,Evans D,Kuzoe FA,Cattand PD

    更新日期:1995-07-01 00:00:00

  • Future projection of the health and functional status of older people in Japan: A multistate transition microsimulation model with repeated cross-sectional data.

    abstract::Accurate future projections of population health are imperative to plan for the future healthcare needs of a rapidly aging population. Multistate-transition microsimulation models, such as the U.S. Future Elderly Model, address this need but require high-quality panel data for calibration. We develop an alternative me...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3986

    authors: Kasajima M,Hashimoto H,Suen SC,Chen B,Jalal H,Eggleston K,Bhattacharya J

    更新日期:2020-07-14 00:00:00

  • Estimation of the transition matrix of a discrete-time Markov chain.

    abstract::Discrete-time Markov chains have been successfully used to investigate treatment programs and health care protocols for chronic diseases. In these situations, the transition matrix, which describes the natural progression of the disease, is often estimated from a cohort observed at common intervals. Estimation of the ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.654

    authors: Craig BA,Sendi PP

    更新日期:2002-01-01 00:00:00

  • Re-Thinking 'The Different Perspectives That can be Used When Eliciting Preferences in Health'.

    abstract::The 2003 Health Economics paper by Dolan, Olsen, Menzel and Richardson on 'An inquiry into the different perspectives that can be used when eliciting preferences in health' presents a conceptual framework of six perspectives along two dimensions: preferences (personal, social, and socially inclusive personal) and cont...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3480

    authors: Tsuchiya A,Watson V

    更新日期:2017-12-01 00:00:00

  • The role of a pre-scored multi-attribute health classification measure in validating condition-specific health state descriptions.

    abstract::It is common to find specially constructed condition-specific health state descriptions used as the basis for benefit assessment in cost-utility analysis. For this approach to be valid it is necessary to have valid descriptors of health states. Yet the evidence demonstrating descriptive validity has been neglected in ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1050(199912)8:8<685::aid-hec472

    authors: Gerard K,Johnston K,Brown J

    更新日期:1999-12-01 00:00:00

  • Evaluation of the impact of the Mother and Infant Health Project in Ukraine.

    abstract::This paper exploits a unique opportunity to evaluate the impact of the quality change in the labor and delivery services brought about by the Mother and Infant Health Project in Ukraine. Employing program evaluation methods, we find that the administrative units participating in the Project have exhibited greater impr...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1609

    authors: Nizalova OY,Vyshnya M

    更新日期:2010-09-01 00:00:00

  • US health services employment: a time series analysis.

    abstract::The growth of health services employment in the United States is modelled using ARIMA analysis, and related to the growth in total U.S. employment. It is argued that specific features of the medical care sector (licensed professional manpower, non-profit firms, third-party financing) create institutional rigidities wh...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4730030306

    authors: Kendix M,Getzen TE

    更新日期:1994-05-01 00:00:00

  • The health benefits of a targeted cash transfer: The UK Winter Fuel Payment.

    abstract::Each year, the UK records 25,000 or more excess winter deaths, primarily among the elderly. A key policy response is the "Winter Fuel Payment" (WFP), a labelled but unconditional cash transfer to households with a member above the female state pension age. The WFP has been shown to raise fuel spending among eligible h...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3666

    authors: Crossley TF,Zilio F

    更新日期:2018-05-09 00:00:00

  • How well do diagnosis-related groups for appendectomy explain variations in resource use? An analysis of patient-level data from 10 European countries.

    abstract::Appendectomy is a common and relatively simple procedure to remove an inflamed appendix, but the rate of appendectomy varies widely across Europe. This paper investigates factors that explain differences in resource use for appendectomy. We analysed 106,929 appendectomy patients treated in 939 hospitals in 10 European...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2836

    authors: Mason A,Or Z,Renaud T,Street A,Thuilliez J,Ward P,EuroDRG group.

    更新日期:2012-08-01 00:00:00

  • Classical versus relational approaches to understanding controls on a contract with independent GPs in South Africa.

    abstract::Contracts have played a central role in public sector reforms in developed countries over the last decade, and research increasingly highlights their varied nature. In low and middle income countries the use of contracts is encouraged but little attention has been paid to features of the setting that may influence the...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.792

    authors: Palmer N,Mills A

    更新日期:2003-12-01 00:00:00

  • The impact of diabetes on adult employment and earnings of Mexican Americans: findings from a community based study.

    abstract::Epidemiological studies indicate that minority populations in the US - including African Americans, Native Americans and Mexican Americans - are particularly at risk for diabetes and that their complications are more frequent and severe. Using microdata from a 1994-1999 population based study of middle aged and older ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.676

    authors: Bastida E,Pagán JA

    更新日期:2002-07-01 00:00:00

  • Incentivizing Organ Donor Registrations with Organ Allocation Priority.

    abstract::How donor organs are allocated for transplant can affect their scarcity. In 2008, Israel's Parliament passed an Organ Transplantation Law granting priority on organ donor waiting lists to individuals who had previously registered as organ donors. Beginning in November 2010, public awareness campaigns advertised the pr...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3328

    authors: Stoler A,Kessler JB,Ashkenazi T,Roth AE,Lavee J

    更新日期:2017-04-01 00:00:00

  • Is Best-Worst Scaling Suitable for Health State Valuation? A Comparison with Discrete Choice Experiments.

    abstract::Health utility indices (HUIs) are widely used in economic evaluation. The best-worst scaling (BWS) method is being used to value dimensions of HUIs. However, little is known about the properties of this method. This paper investigates the validity of the BWS method to develop HUI, comparing it to another ordinal valua...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3459

    authors: Krucien N,Watson V,Ryan M

    更新日期:2017-12-01 00:00:00

  • Cost-effectiveness analysis based on the number-needed-to-treat: common sense or non-sense?

    abstract::This paper explores and critically discusses some of the methodological limitations of using the number-needed-to-treat (NNT) in economic evaluation. We argue that NNT may be a straightforward measure of benefit when the effect of an intervention is immediate, but that serious problems arise when the effect is delay r...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.797

    authors: Kristiansen IS,Gyrd-Hansen D

    更新日期:2004-01-01 00:00:00

  • The relationship between reliability and size of willingness-to-pay values: a qualitative insight.

    abstract::In a previous paper, the reliability of willingness-to-pay (WTP) values was found to be an increasing function of the size of WTP expressed. Here, the results of a qualitative exercise conducted alongside this quantitative study are presented. The results of this exercise suggest that higher WTP values may require mor...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1155

    authors: Smith RD

    更新日期:2007-02-01 00:00:00

  • An internal rate of return approach to investigate pharmacist supply in the United States.

    abstract::Internal rates of return were used to examine the status of pharmacist supply in the United States between the years 1987-1991. Age-earnings profiles were estimated for pharmacists, college graduates and high school graduates. Rates of return to pharmacists and college graduates were compared and a ratio of the pharma...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4730030605

    authors: Mott DA,Kreling DH

    更新日期:1994-11-01 00:00:00

  • Risk adjusted resource utilization for AMI patients treated in Japanese hospitals.

    abstract::Though risk adjustment is necessary in order to make equitable comparisons of resource utilization in the treatment of acute myocardial infarction patients, there is little in the literature that can be practically applied without access to clinical records or specialized registries. The aim of this study is to show t...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1177

    authors: Evans E,Imanaka Y,Sekimoto M,Ishizaki T,Hayashida K,Fukuda H,Oh EH

    更新日期:2007-04-01 00:00:00

  • Can a results-based bottom-up reform improve health system performance? Evidence from the rural health project in China.

    abstract::In 2008, the Rural Health Project (Health XI) was initiated in 40 Chinese counties to pilot interventions aimed at improving local health systems. Performance targets were pre-specified (results-based), and project counties were allowed to tailor their interventions (bottom-up) in recognition of the substantial region...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3935

    authors: Zhang H,van Doorslaer E,Xu L,Zhang Y,van de Klundert J

    更新日期:2019-10-01 00:00:00

  • Physical activity and health outcomes: evidence from Canada.

    abstract::Health production models include participation in physical activity as an input. We investigate the relationship between participation in physical activity and health using a bivariate probit model. Participation is identified with an exclusion restriction on a variable reflecting sense of belonging to the community. ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2900

    authors: Humphreys BR,McLeod L,Ruseski JE

    更新日期:2014-01-01 00:00:00