Modelling future capacity needs and spending on colonoscopy in the English bowel cancer screening programme

Abstract

The model has been used to make projections for five primary care trusts within the South Central Strategic Health Authority. Results from the volume and cost projections can inform service planning and resource allocation at local levels for the implementation of the current and future bowel cancer screening programme.

Anticipating implementation of colorectal cancer screening in The Netherlands: a nation wide survey on endoscopic supply and demand

“…Only from Ireland and Romania have recent data been published [10,11]. Other studies did not report on current and total capacity, but did report on models of capacity needed in CRC screening [19,20]. The results of our pilot inquiry indicate that the number of colonoscopies per 100,000 inhabitants has a wide range from less than 126 in Turkey to 3,031 in Germany.…”

The Impact of CT Colonography for Colorectal Cancer Screening on the UK NHS

“…[15] Our base-case OC uptake for scenario 1 would therefore seem optimistic; however, the difference in total cost was not significant when the followup rate was reduced in our analysis. Furthermore, a recent study on the use of CTC as a triage observed that uptake of OC following positive results from both CTC and FOBT was 97%.…”

“…[7] However, a UK pilot study found that only 83% of patients referred actually underwent OC, suggesting that patient compliance is less than optimal. [15] After reviewing both the results of this pilot study and a detailed economic evaluation of several alternative CRC screening programmes, including FOBT, flexible sigmoidoscopy (FSIG) and OC, the NHS decided that biennial FOBT was the best of the available options. [16] Whilst biennial FOBT was not the most cost-effective option considered, its impact on NHS healthcare resources and accessibility for the target population influenced the decision.…”

The Development of a Virtual Reality Training Curriculum for Colonoscopy

“…21 By optimizing the transfer of skills from laboratory to endoscopy suite, device-specific training curricula have the potential to alleviate some of the burden that is likely to be placed on clinical and educational institutions. Future work should, therefore, be directed toward examining this effect empirically.…”