In April 2018, CPCRN’s Modeling Evidence-Based Intervention (EBI) Impact Workgroup published their Colorectal Cancer (CRC) Simulation Model Resource Brief to reflect upon recent efforts to model CRC risk, screening, treatment, and cancer outcomes. Study coordinator Sarah Drier and principal investigator Stephanie Wheeler, both of UNC-Chapel Hill, led the effort alongside fellow workgroup members.
The microsimulation model was designed to simulate colorectal cancer (CRC) risk, screening behaviors, treatment, and cancer outcomes under a variety of scenarios. The model supports stakeholder learning and decision-making by comparing the costs, resource implications (e.g., increased colonoscopy demand), population health impacts, and efficiency of competing intervention and policy approaches designed to improve CRC screening implementation. Model application in specific settings can help address CRC screening and outcome disparities at state, local, and sub-population levels.
–To determine the most effective and efficient approaches for closing gaps in CRC screening and outcomes in specific settings and sub- populations (e.g., rural, minority, low-income, uninsured/under-insured) and understand how impacts vary based on the local context
–To identify how healthcare systems, screening intervention, and implementation strategies can be optimized to ensure that people receive CRC screening at the lowest cost
–To gain greater insight into uncertainties, capacity implications, and unintended consequences of specific CRC screening interventions on diverse populations