Table 6 Potential clinical preventive services in BC. Summary of the clinically preventable burden and cost-effectiveness
From: Priorities among effective clinical preventive services in British Columbia, Canada
Clinical Preventive Services | CPBb (0% Discount) | CEc (% Discount) | |||
|---|---|---|---|---|---|
B.C. | ‘BiW’a | Gap | 1.5% | 0% | |
Screening for Asymptomatic Disease or Risk Factors - Youth | |||||
 Screening for depression | Unknown | 222 |  | $28,215 | $27,331 |
Behavioural Counseling Interventions - Children/Youth | |||||
 Interventions to support breastfeeding | Unknown | 5002 |  | ($9021) | ($11,966) |
 Growth monitoring and healthy weight management in children and youth | 196 | 196 | 0 | $29,436 | $18,148 |
 Preventing tobacco use (school-aged children & youth) | Unknown | 4123 |  | ($7349) | ($9538) |
Preventive Medication / Devices - Children | |||||
 Fluoride varnish | Unknown | 150 |  | $43,038 | $43,038 |
 Dental sealants | Unknown | 157 |  | ($24,690) | ($29,320) |
Screening for Asymptomatic Disease or Risk Factors – Adults | |||||
 Screening for breast cancer | 703 | 1189 | 486 | $19,720 | $18,326 |
 Screening (cytology-based) for cervical cancer | 1153 | 1471 | 318 | $25,542 | $26,980 |
 Addition of HPV-based cervical cancer screening | 0 | 655 | 655 | ($21,556) | ($19,264) |
 Screening for colorectal cancer | 1141 | 1734 | 593 | $47,265 | $44,213 |
 Screening for lung cancer | Unknown | 1745 |  | $2240 | $2080 |
 Screening for hypertension | Unknown | 11,587 |  | $15,254 | $10,760 |
 Screening for cardiovascular disease risk and treatment (with statins) | Unknown | 9370 |  | $3223 | $1392 |
 Screening for type 2 diabetes mellitus (T2DM) | Unknown | 3494 |  | ($3121) | ($3453) |
 Screening for depression in general adult population | Unknown | -8 |  | Dominated | |
 Screening for depression in pregnant and postpartum women | Unknown | 109 |  | $23,042 | $10,140 |
 Screening for osteoporosis | Unknown | 91 |  | ($29,412) | ($34,145) |
 Screening for abdominal aortic aneurysm | Unknown | 340 |  | $11,995 | $9973 |
Screening for Sexually Transmitted Infections and Blood Borne Pathogens - Adults | |||||
 Screening for human immunodeficiency virus | Unknown | 360 |  | $16,434 | $16,434 |
 Screening for chlamydia and gonorrhea | Unknown | 143 |  | $57,174 | $53,410 |
 Screening for hepatitis C virus | 2695 | 3920 | 1225 | $3427 | $2810 |
Behavioural Counseling Interventions - Adults | |||||
 Prevention of sexually transmitted infections (STIs) | Unknown | 3285 |  | $10,267 | $10,267 |
 Counselling and interventions to prevent tobacco use | 3730 | 5944 | 2214 | ($1863) | ($3344) |
 Screening and behavioural counseling interventions to reduce unhealthy alcohol use | Unknown | 5035 |  | $9609 | $9258 |
 Screening for and management of obesity | Unknown | 2287 |  | $12,160 | $11,140 |
 Preventing falls | Unknown | 429 |  | $35,213 | $35,213 |
Preventive Medication / Devices – Adults | |||||
 Routine aspirin use for the prevention of cardiovascular disease (CVD) and colorectal cancer | Unknown | 1098 |  | $2302 | $411 |
 Folic acid supplementation for the prevention of neural tube defects | Unknown | 95 |  | $195,379 | $113,155 |