Research Article

Evaluating the Cost-Effective Use of Follow-Up Colonoscopy Based on Screening Findings and Age

Table 6

Recommended follow-up colonoscopy intervals by colonoscopy screening age and screening colonoscopy results.

Screening colonoscopy age and resultsRecommended follow-up intervalRange of cost-effective follow-up colonoscopyGain in QALYs/10,000 persons for recommended follow-up interval

$100,000/QALYs gained threshold
50 years
 All findings8.5 years7.7–20 years84.0
 No neoplasia8.5 years7.6–20 years84.0
 1 to 2 nonadvanced adenomas only8.5 years7.4–20 years84.0
 3+ nonadvanced adenomas only9.0 years7.8–20 years83.3
 1 to 2 adenomas with some advanced neoplasia8.4 years8.2–20 years81.3
 3+ adenomas with some advanced neoplasia8.9 years8.4–20 years80.7