Expenditures on Screening Promotion Activities in CDC’s Colorectal Cancer Control Program, 2009–2014
ORIGINAL RESEARCH — Volume 16 — May 23, 2019
PEER REVIEWED
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) |
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) |