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By Institute of Medicine and National Research Council

The nationwide melanoma coverage Board and the Board on technological know-how, Engineering, and financial coverage convened a workshop in January 2004 on "Economic types of Colorectal melanoma (CRC) Screening in Average-Risk Adults". the aim of the workshop was once to discover the explanations for changes between major cost-effectiveness research (CEA) versions of CRC screening, which public well-being coverage makers more and more depend upon to assist them sift during the many selections confronting them. individuals mentioned the result of a collaborative pre-workshop workout undertaken through 5 examine groups that experience constructed and maintained finished types of CRC screening in average-risk adults, to realize perception into each one model's constitution and assumptions and attainable causes for changes of their released analyses. The workshop members additionally tested the present nation of data on key inputs to the types with a view towards deciding on parts the place additional learn should be warranted. This record summarized the displays and dialogue on the workshop.

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American Cancer Society Atlanta, GA Jay Herson Westat Rockville, MD Martin L. D. D. Walter Reed Army Medical Center Washington, DC Kathleen Connors “The Gray Sheet” Chevy Chase, MD John M. D. H. National Cancer Institute Bethesda, MD Robert S. D. D. S. University of California, San Francisco San Francisco, CA Donatus U. D. S. D. Agency for Healthcare Research and Quality Rockville, MD 37 38 ECONOMIC MODELS OF COLORECTAL CANCER SCREENING Theodore R. D. D. D. D. D. University of Birmingham United Kingdom Robert A.

The quality of many screening processes may be poor today, in Glick’s view. Estimates of test sensitivity, specificity, and medical risk, usually taken from studies where good quality assurance existed, 15 Recent news accounts suggest that waiting times for colonoscopy are growing in certain areas of the country (Kowalczyk, 2004). , 2004). 28 ECONOMIC MODELS OF COLORECTAL CANCER SCREENING therefore overestimate the performance of screening in the absence of strong quality assurance programs. The basic problem, in the view of Martin Brown, is not the choice between the real and the ideal per se, but the failure of researchers to make explicit their choices about it.

D. R. S. Congressional Budget Office Washington, DC A. D. D. D. D. University of Birmingham United Kingdom Erica S. D. National Cancer Institute Bethesda, MD Seth N. D. D. American Cancer Society Atlanta, GA Jay Herson Westat Rockville, MD Martin L. D. D. Walter Reed Army Medical Center Washington, DC Kathleen Connors “The Gray Sheet” Chevy Chase, MD John M. D. H. National Cancer Institute Bethesda, MD Robert S. D. D. S. University of California, San Francisco San Francisco, CA Donatus U. D. S.

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