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PSA showed that results were robust to variation in parameter estimates, with annual screening remaining cost-effective compared with no screening.ConclusionOur screening strategy could be considered cost-effective compared to ano screening strategy. Our findings could be potentially used to develop aCRC national screening program.Background Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the procedure of choice for patients with ulcerative colitis and select patients with Crohn's disease. Minimally invasive techniques have b