Extension of BowelScreen to Ages 50-54: A Cost-Effectiveness Analysis

By Staff Writer

August 13, 2024

Introduction

Colorectal cancer, commonly known as bowel cancer, affects the lower part of the bowel, including the colon and rectum. Globally, colorectal cancer is the third most commonly diagnosed cancer, accounting for about 10% of all cancer cases in 2020, with over 1.8 million new cases. In Ireland, it is the second most frequently occurring cancer in males and the third in females, with an annual average of 2,562 new cases between 2018 and 2020. Extending BowelScreen to individuals aged 50 to 54 years is a topic of significant interest in Ireland. A recent report explores the cost-effectiveness of this extension done by the Health Information and Quality Authority (HIQA), focusing on the Irish context.

Current Screening Practices

BowelScreen currently targets individuals aged 55 to 74 years. This age group has an average risk for colorectal cancer. The screening uses the Faecal Immunochemical Test (FIT), which detects blood in the stool. Early detection through screening can lead to better outcomes and reduced mortality rates. Therefore, the programme has been successful in identifying cases of colorectal cancer early, allowing for timely intervention and treatment.

Proposed Extension to Younger Age Group

The proposal suggests extending BowelScreen to individuals aged 50 to 54 years. This extension aims to detect colorectal cancer earlier in this at-risk age group. Moreover, early detection can boost survival rates significantly. The extension would involve using the same FIT-based strategies currently in place for the older age group. By lowering the starting age for screening, the programme hopes to identify more cases of colorectal cancer at an earlier, more treatable stage.

Cost-Effectiveness of BowelScreen extension

To determine the cost-effectiveness of this extension, a review of existing studies was conducted. The review focused on European studies, as these are most likely to be transferable to the Irish context. The primary metric used was the Incremental Cost-Effectiveness Ratio (ICER), which measures the cost per quality-adjusted life year (QALY) gained. The analysis considered various factors, including the costs of screening, follow-up procedures, and treatment, as well as the potential savings from early detection and reduced cancer treatment costs.

Findings and Implications

The review found that extending BowelScreen to those aged 50 to 54 years is likely to be cost-effective. The ICERs for this age group were within the willingness-to-pay thresholds of €20,000 and €45,000 per QALY gained, which are typically used in Ireland. This suggests that the benefits of early detection outweigh the costs. The analysis also highlighted the potential for significant public health benefits, including reduced mortality rates and improved quality of life for individuals diagnosed with colorectal cancer at an earlier stage.

Anticipated Timeline

Firstly, the cost-effectiveness of BowelScreen extension will be submitted to the Board of HIQA for approval. Upon approval, the final health technology assessment (HTA) and associated Statement of Outcomes will be submitted to the National Screening Advisory Committee (NSAC) for consideration and published on the HIQA website. The anticipated completion date is Q2 2025.

Conclusion

Extending BowelScreen to individuals aged 50 to 54 years is a cost-effective strategy. It can lead to earlier detection of colorectal cancer, improving survival rates and reducing healthcare costs in the long run. This extension aligns with the goals of value-based healthcare, focusing on outcomes and cost-efficiency. By investing in early detection, the healthcare system can save on the costs associated with advanced cancer treatment and improve patient outcomes.

Reference url

Recent Posts

Sword Health mental health
         

How Does Mind’s AI-Driven Mental Healthcare Transform Care?

🤔 Are we ready to embrace AI in mental health care?

Sword Health has just secured €34.6 million to launch **Mind**, an innovative AI-powered mental health solution, blending licensed clinicians with continuous monitoring through wearables. This strategic expansion aims to address the pressing global mental health crisis while promoting personalized and proactive care models. 🌍🧠

Dive into how Sword Health is revolutionizing healthcare and bridging the gap between technology and clinical expertise.

#SyenzaNews #HealthTech #AIinHealthcare #DigitalTransformation

transparency in industry partnerships
   

Transparency in Industry Partnerships: Building Trust

🔍 How does transparency in industry partnerships impact patient care?

In the evolving landscape of healthcare, EFPIA’s mandatory disclosure requirements for financial interactions underscore the vital role of transparency in fostering trust and collaboration. By detailing financial transfers to healthcare professionals and organizations, the European Disclosure Gateway facilitates informed decision-making and strengthens relationships between stakeholders.

Have a look at the article to explore how these initiatives not only enhance public confidence but also drive innovation in treatments!

#SyenzaNews #HealthcareInnovation #HealthEconomics #innovation

DALY modeling methods
        

DALY Modeling Methods for Enhanced Health Economics and Policy Analysis

How can DALY modeling methods revolutionize health policy and decision analysis? 🔍

DALY modeling techniques provide vital insights into disease burden, helping policymakers and analysts make informed, evidence-based decisions about resource allocation. This article breaks down the latest advancements in DALY modeling, ensuring you grasp the methodologies that can enhance health economics practices.

Don’t miss out on learning how these robust methods can shape better health outcomes. Dive into the full article for all the essential details!

#SyenzaNews #HealthEconomics #HealthcarePolicy

When you partner with Syenza, it’s like a Nuclear Fusion.

Our expertise are combined with yours, and we contribute clinical expertise and advanced degrees in health policy, health economics, systems analysis, public finance, business, and project management. You’ll also feel our high-impact global and local perspectives with cultural intelligence.

SPEAK WITH US

CORRESPONDENCE ADDRESS

1950 W. Corporate Way, Suite 95478
Anaheim, CA 92801, USA

© 2025 Syenza™. All rights reserved.