上海市徐汇区大肠癌筛查成本效益分析  

Cost-benefit analysis of colorectal cancer screening in Xuhui District,Shanghai

作　　者：王冠中[1] 朱菁[1] 顾海雁[1] 倪红伟[1] WANG Guan-zhong,ZHU Jing, GU Hai-yan, NI Hong-wei(Xuhui District Center for Disease Control and Prevention, Shanghai 200237, Chin)

机构地区：[1]上海市徐汇区疾病预防控制中心,上海200237

出　　处：《上海预防医学》2018年第7期584-587,596,共5页Shanghai Journal of Preventive Medicine

基　　金：上海市徐汇区医学科研项目(SHXH201338)

摘　　要：【目的】对大肠癌筛查项目进行成本效益分析,为大肠癌筛查的广泛推广提供依据。【方法】收集2011—2016年上海市徐汇区社区居民大肠癌筛查数据,通过测算筛查成本、筛查效益、成本效果、净效益、效益成本比,分析大肠癌筛查成本效益。【结果】徐汇区大肠癌筛查初筛人均成本为18.20元,平均每发现1例"高危"居民成本为111.82元,平均每发现1例腺瘤性病变成本为9 755.94元,平均每发现1例大肠癌成本为59 866.02元;筛查获益856.81万元,效益成本比为2.63。【结论】大肠癌筛查的经济效益大于成本,在大肠癌"高危"人群和高发地区推行大肠癌筛查是有益处的。[Objective]The colorectal cancer screening was investigated by the analysis of cost-benefit in the light of health economics,so as to obtain a scientific basis for development and promotion of colorectal cancer screening. [Methods] This study was based on the data from colorectal cancer screening in Xuhui District in Shanghai from 2011 to 2016, through estimation of cost, benefit, cost effectiveness, net benefit,cost-effectiveness ratio and analysis of the cost-effectiveness of colorectal cancer screening by the method of benefit ratio. [Results] The average cost of 1 case in the first round of the colorectal cancer screening was 18. 20 yuan in Xuhui District. The average cost for finding a case of high risk case was111. 82 yuan,for finding a case of adenomatous lesions 9 755. 94 yuan,and for finding a case of colorectal cancer 59 866. 02 yuan. The colorectal cancer screening benefit cost was 8 568 100 yuan,the benefit cost ratio was 2. 63. [Conclusion] The economic benefit of the colorectal cancer screening is much more than the cost, so carrying out the screening for high-risk groups and high-risk areas of colorectal cancer is beneficial.

关 键 词：大肠癌 筛查 成本效益分析 

分 类 号：R735.3[医药卫生—肿瘤]