Cost effectiveness of surveillance for GI cancers

Gastrointestinal (GI) diseases are among the leading causes of death in the world. To reduce the burden of GI diseases, surveillance is recommended for some diseases, including for patients with inflammatory bowel diseases, Barrett's oesophagus, precancerous gastric lesions, colorectal adenoma,...

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Main Authors: Omidvari, A., Meester, R., Lansdorp_Vogelaar, Iris
Format: Journal Article
Published: 2016
Online Access:http://hdl.handle.net/20.500.11937/49932
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author Omidvari, A.
Meester, R.
Lansdorp_Vogelaar, Iris
author_facet Omidvari, A.
Meester, R.
Lansdorp_Vogelaar, Iris
author_sort Omidvari, A.
building Curtin Institutional Repository
collection Online Access
description Gastrointestinal (GI) diseases are among the leading causes of death in the world. To reduce the burden of GI diseases, surveillance is recommended for some diseases, including for patients with inflammatory bowel diseases, Barrett's oesophagus, precancerous gastric lesions, colorectal adenoma, and pancreatic neoplasms. This review aims to provide an overview of the evidence on cost-effectiveness of surveillance of individuals with GI conditions predisposing them to cancer, specifically focussing on the aforementioned conditions. We searched the literature and reviewed 21 studies. Despite heterogeneity of studies in terms of settings, study populations, surveillance strategies and outcomes, most reviewed studies suggested at least some surveillance of patients with these GI conditions to be cost-effective. For some high-risk conditions frequent surveillance with 3-month intervals was warranted, while for other conditions, surveillance may only be cost-effective every 10 years. Further studies based on more robust effectiveness evidence are needed to inform and optimise surveillance programmes for GI cancers.
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spelling curtin-20.500.11937-499322018-03-29T09:06:50Z Cost effectiveness of surveillance for GI cancers Omidvari, A. Meester, R. Lansdorp_Vogelaar, Iris Gastrointestinal (GI) diseases are among the leading causes of death in the world. To reduce the burden of GI diseases, surveillance is recommended for some diseases, including for patients with inflammatory bowel diseases, Barrett's oesophagus, precancerous gastric lesions, colorectal adenoma, and pancreatic neoplasms. This review aims to provide an overview of the evidence on cost-effectiveness of surveillance of individuals with GI conditions predisposing them to cancer, specifically focussing on the aforementioned conditions. We searched the literature and reviewed 21 studies. Despite heterogeneity of studies in terms of settings, study populations, surveillance strategies and outcomes, most reviewed studies suggested at least some surveillance of patients with these GI conditions to be cost-effective. For some high-risk conditions frequent surveillance with 3-month intervals was warranted, while for other conditions, surveillance may only be cost-effective every 10 years. Further studies based on more robust effectiveness evidence are needed to inform and optimise surveillance programmes for GI cancers. 2016 Journal Article http://hdl.handle.net/20.500.11937/49932 10.1016/j.bpg.2016.09.001 restricted
spellingShingle Omidvari, A.
Meester, R.
Lansdorp_Vogelaar, Iris
Cost effectiveness of surveillance for GI cancers
title Cost effectiveness of surveillance for GI cancers
title_full Cost effectiveness of surveillance for GI cancers
title_fullStr Cost effectiveness of surveillance for GI cancers
title_full_unstemmed Cost effectiveness of surveillance for GI cancers
title_short Cost effectiveness of surveillance for GI cancers
title_sort cost effectiveness of surveillance for gi cancers
url http://hdl.handle.net/20.500.11937/49932