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Table 3 Natural history parameters of the ASCCA model

From: Impact of differences in adenoma and proximal serrated polyp detection rate on the long-term effectiveness of FIT-based colorectal cancer screening

Natural history parameters

One-year transition probabilities

References

Adenoma-carcinoma pathway

Adenoma incidence men (No adenoma to diminutive adenoma)

(A1-A3)

 Age 20–39

0.003

 Age 40–49

0.007

 Age 50–54

0.019

 Age 55–59

0.022

 Age 60–64

0.024

 Age 65–69

0.028

 Age 70–74

0.033

 Age 75–90

0.035

Adenoma incidence women

(A1-A3)

 Incidence factor

0.6a

Personal risk index adenoma-carcinoma pathway

(A2,A3)

 Standard deviation

1.6a

Progression in size

(A1,A3-A5)

 Diminutive to small adenoma

0.07

 Small to large adenoma

0.10

Regression in size

(A1,A3)

 Small to diminutive adenoma

0.25

 Large to small adenoma

0.15

Dysplasia (Low grade to high grade)

(A1,A3)

 Diminutive adenoma

0.004

 Small adenoma

0.009

 Large adenoma

0.010

Villosity (Tubular to tubulovillous/villous)

(A1,A3)

 Diminutive adenoma

0.004

 Small adenoma

0.025

 Large adenoma

0.085

Progression from AA to CRCb

Shape

Scale

(A6)

 Men

2a

29a

 Women

2a

27a

Serrated pathway

Serrated lesion incidence men (No serrated lesion to small serrated lesion)

SSA

HP

(A1,A3)

 Age 20–25

0.0001

0.001

 Age 25–29

0.0001

0.001

 Age 30–34

0.0001

0.002

 Age 35–39

0.0001

0.004

 Age 40–44

0.0006

0.007

 Age 45–49

0.0015

0.010

 Age 50–54

0.0016

0.010

 Age 55–59

0.0014

0.006

 Age 60–64

0.0008

0.004

 Age 65–69

0.0008

0.004

 Age 70–74

0.0007

0.002

 Age 75–79

0.0006

0.002

 Age 80–84

0.0005

0.002

 Age 85–90

0.0004

0.002

Serrated lesion incidence women

 Incidence factor SSA

0.7a

(A1,A3)

 Incidence factor HP

0.7a

Personal risk index serrated pathway

(A1,A3)

 Standard deviation

1.7a

Progression in size

(A1,A3)

 Small to large serrated lesion

0.028

Regression in size

(A1,A3)

 Small HP to no serrated lesion

0.0

 Large HP to small HP

0.4

Progression to CRC

0.006

(A6)

CRC

CRC

Dwell time in years

Stage distribution detected CRC

(A7,A8)

 Stage 1

2.5a

0.19a

 Stage 2

2.0a

0.31a

 Stage 3

1.5a

0.49a

 Stage 4

1.0a

0.01a

  1. aParameter value instead of yearly transition probability
  2. bWeibull distribution