[Federal Register: May 13, 2005 (Volume 70, Number 92)]
[Notices]
[Page 25572-25573]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr13my05-64]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-05-0242x]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call 404-371-5983
and send comments to Seleda Perryman, CDC Assistant Reports Clearance
Officer, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send an e-mail
to omb@cdc.gov.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology. Written comments should be received
within 60 days of this notice.
Proposed Project
Estimating the Cost of Sigmoidoscopy and Colonoscopy for Colorectal
Cancer Screening in U.S. Healthcare Facilities--New--National Center
for Chronic Disease Prevention and Health Promotion (NCCDPHP), Division
of Cancer Prevention and Control (DCPC), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
Colorectal cancer (CRC) is the second leading cause of cancer-
related deaths in the United States. In 2005, it is estimated that
approximately 56,300 Americans will die from CRC and about 145,300 new
cases will be diagnosed. The risk of developing CRC increases with
advancing age. More than 90% of newly diagnosed CRCs occur in persons
50 years of age and older. Several
[[Page 25573]]
scientific studies have demonstrated that regular screening for CRC
reduces the incidence and mortality from this disease. Other studies
have shown that regular screening for CRC is also cost-effective in
terms of years of life saved.
Despite strong scientific evidence and evidence-based clinical
guidelines recommending screening, current screening rates remain low.
A recent CDC study reported that more than 40 million Americans who are
50 years of age or older and at average risk for CRC have not been
screened in accordance with current guidelines. The study also reported
that screening this population with current endoscopic (i.e., flexible
sigmoidoscopy and colonoscopy) capacity in the health care system could
require as much as ten years to complete. In view of the current
shortage in endoscopic capacity, an effective national effort to
promote CRC screening could increase the demand for endoscopic
procedures.
It has been reported that reimbursements for endoscopic procedures
in publicly-funded programs may not be adequate to cover the costs of
performing these procedures. This may be a disincentive for providers
to perform endoscopy procedures. Currently, there is little information
available about the actual costs of providing these procedures in
different types of healthcare facilities in the United States.
The purpose of this project is to conduct a survey of a nationally
representative sample of healthcare facilities in order to estimate the
economic costs of providing colonoscopy and flexible sigmoidoscopy for
CRC screening and follow-up services. The estimated procedure costs
will be compared to the reimbursement rates for both screening
procedures in order to determine whether the difference between
payments to facilities and costs incurred is a potential barrier to
expansion of CRC screening to uninsured or underinsured populations.
The study will also determine whether there are technical factors
that enable some facilities to provide larger numbers of endoscopic
procedures at lower average costs than other facilities, i.e., whether
economies of scale and/or economies of scope exist for certain types of
facilities. Results of this study will be used to better define the
economics of colorectal cancer screening. There is no cost to the
respondents other than their time.
Estimate of Annualized Burden Table
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Number of Avg. burden Total burden
Form type Number of responses/ per response of response
respondents respondent (in hrs.) (in hrs)
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Telephone script to identify the appropriate 2,530 1 5/60 211
respondent.....................................
Survey of hospital-based outpatient departments. 1,500 1 4.0 6,000
Survey of freestanding ambulatory surgery 800 1 6.0 4,800
centers........................................
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Total....................................... .............. .............. .............. 11,011
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Dated: May 6, 2005.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. 05-9558 Filed 5-12-05; 8:45 am]
BILLING CODE 4163-18-P