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Clinical Management of Small (6- to 9-mm) Polyps Detected at Screening CT Colonography: A Cost-Effectiveness Analysis

Perry J. Pickhardt1,2, Cesare Hassan3, Andrea Laghi4, Angelo Zullo3, David H. Kim1, Franco Iafrate4 and Sergio Morini3

1 Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Ave., Madison, WI 53792-3252.
2 Department of Radiology, Uniformed Services University of the Health Sciences, Bethesda, MD.
3 Gastroenterology and Digestive Endoscopy Unit, "Nuovo Regina Margherita" Hospital, Rome, Italy.
4 Department of Radiological Sciences, University of Rome La Sapienza "Policlinico Umberto I," Rome, Italy.


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  		Fig. 1 —Decision tree that models alternative pathways of 3-year CT colonography (CTC) surveillance versus immediate polypectomy for 6- to 9-mm polyps detected in 60-year-old asymptomatic adults undergoing CTC screening. Strategies are modeled over a 5-year period. A strategy of no intervention was also simulated. Triangle at end of a course signifies that patient will remain in that state until end of study period. CRC = colorectal cancer.

 

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