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Expenditures on Screening Promotion Activities in CDC’s Colorectal Cancer Control Program, 2009–2014

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Figure 1.
Average cost per grantee for each screening promotion activity, by year, Colorectal Cancer Control Program, 2009–2014. Error bars represent 95% confidence intervals.

Category Year 1 (95% CI) Year 2 (95% CI) Year 3 (95% CI) Year 4 (95% CI) Year 5 (95% CI)
Client reminders 13,357 (0–28,963) 23,350 (638–46,062) 15,520 (1,633–29,407) 10,175 (3,094–17,257) 6,241 (2,814–9,668)
Small media 71,769 (35,098–108,440) 43,978 (18,848–69,107) 31,661 (16,998–46,324) 34,012 (17,828–50,197) 40,191 (8,683–71,700)
Mass media 79,962 (27,077–132,847) 104,351 (36,539–172,163) 91,825 (40,600–143,049) 83,375 (25,632–141,119) 65,453 (16,388–114,517)
Outreach and education 30,062 (0–67,058) 20,521 (0–47,606) 31,941 (7,181–56,701) 49,662 (15,795–83,530) 41,300 (18,195–64,406)
Provider assessments and reminders 25,502 (7,201–43,802) 28,301 (2,401–54,200) 28,710 (2,889–54,532) 31,355 (5,263–57,447) 32,909 (7,857–57,962)
Patient navigation 61,364 (1,491–121,237) 38,185 (10,720–65,650) 45,123 (11,936–78,310) 55,451 (20,550–90,351) 59,731 (19,114–100,348)
Other promotion activities 33,812 (15,786–51,838) 59,243 (18,970–99,516) 48,669 (9,045–88,294) 25,720 (10,740–40,699) 40,964 (19,950–61,978)

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Figure 2.
Average cost, in dollars, for each screening promotion activity (5-year period), by screening rates and by eligible population size, Colorectal Cancer Control Program, 2009–2014. Error bars represent 95% confidence intervals. State-level screening rates (panel A) were classified as high (screening rates ranging from 69.6 to 76.6 [>66th percentile]), medium (screening rates ranging from 65.9 to 69.5 [34th to 66th percentile]), or low (screening rates ranging from 56.5 to 65.8 [<34th percentile]). Grantee populations eligible for screening (panel B) were analyzed based on percentiles (small, <34th; medium, 34th–66th; large, >66th percentile) for those eligible but not screened.

Category High (95% CI) Medium (95% CI) Low (95% CI)
By screening rates
Client reminders 15,282 (3,236–27,328) 21,006 (6,502–35,509) 5,874 (3,283–8,465)
Small media 37,430 (25,826–49,033) 32,167 (13,519–50,814) 59,066 (34,931–83,202)
Mass media 74,774 (40,957–108,591) 128,527 (69,446–187,608) 56,357 (28,175–84,538)
Outreach and education 13,010 (379–25,641) 58,501 (28,241–88,760) 34,001 (15,170–52,832)
Provider assessments and reminders 18,362 (9,859–26,864) 59,854 (31,088–88,620) 13,047 (3,774–22,320)
Patient navigation 111,764 (69,905–153,623) 32,746 (10,348–55,144) 15,248 (7,143–23,352)
Other promotion activities 28,798 (13,702–43,893) 54,679 (23,508–85,851) 42,013 (24,226–59,801)
Category Large (95% CI) Medium (95% CI) Small (95% CI)
By eligible population size
Client reminders 21,420 (8,315–34,526) 12,735 (0–26,310) 6,984 (4,750–9,218)
Small media 24,876 (13,895–35,857) 58,954 (33,449–84,459) 49,383 (29,017–69,748)
Mass media 76,240 (32,978–119,503) 93,311 (53,259–133,362) 86,635 (44,334–128,936)
Outreach and education 58,944 (31,490–86,398) 37,580 (12,929–62,232) 9,898 (1,768–18,029)
Provider assessments and reminders 46,206 (22,771–69,642) 28,343 (7,886–48,799) 14,363 (6,747–21,978)
Patient navigation 42,163 (21,532–62,793) 50,949 (20,487–81,411) 61,818 (26,103–97,533)
Other promotion activities 62,432 (32,371–92,494) 21,822 (11,060–32,584) 37,809 (21,235–54,383)

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