In order to provide greater insight into both the extensiveness and the medical costs of the diagnosis and treatment of screen-detected cervical intra-epithelial neoplasia (CIN) in general medical practice in The Netherlands, data from national registries and gynaecology departments were retrieved, and experts were interviewed.
Of the 5060 women diagnosed with CIN in 1988, more than 50% were treated in hospital with conisation or hysterectomy, which on average took 5.5 days stay per admission.
The assessed average duration of the total preand post-treatment period is 4.6 years.
The average total medical costs in women with detected CIN III are Dfl 3700 per woman.
The diagnosis of CIN I and II involves more medical procedures and time than CIN III, but fewer women have conisation or hysterectomy, resulting in lower total medical costs (Dfl 2572).
The overall extent and costs of the management of CIN should be accounted for when balancing the benefits, unfavourable effects and costs of cervical cancer screening.
Mots-clés Pascal : Cancer in situ, Col utérus, Dysplasie, Dépistage, Traitement, Coût, Economie santé, Pays Bas, Europe, Tumeur maligne, Col utérus pathologie, Appareil génital femelle pathologie, Lésion précancéreuse
Mots-clés Pascal anglais : Carcinoma in situ, Uterine cervix, Dysplasia, Medical screening, Treatment, Costs, Health economy, Netherlands, Europe, Malignant tumor, Uterine cervix diseases, Female genital diseases, Premalignant lesion
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0580584
Code Inist : 002B20C01. Création : 01/03/1996.