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  1. Cost-effectiveness of breast cancer screening in Spain.

    Article - En anglais

    In the last several years, the development of an effective breast cancer screening procedure has increased the possibility of the early detection of this cancer.

    We investigated the cost-effectiveness of a breast cancer screening program to screen 100,000 women 50-64 years of age in Catalonia (Spain).

    The cost-effectiveness ratio was measured in terms of the cost per cancer detected comparing program costs to the estimated number of cancers detected.

    We assumed a participation rate, sensitivity, and specificity of 70%, 92%, and 94%, respectively, and that 0.36 breast cancers could be detected per 100 women screened.

    We estimated a total cost of $2.1 million with $1.4 million for the mammographic stage and $0.7 million for the detection of the true positive mammographic results.

    The cost per woman screened was $30.

    We estimated that 252 cases of breast cancer could be detected with the program.

    The cost-effectiveness ratio obtained in this study was $8,424 per cancer detected.

    Sensitivity analysis has shown that cost-effectiveness results are sensitive to the variations in the following variables : specificity, cancer detection rate, and screening costs.

    In planning preventive programs, breast cancer screening should be considered one of the priorities.

    Mots-clés Pascal : Tumeur maligne, Glande mammaire, Dépistage, Analyse coût efficacité, Economie santé, Programme sanitaire, Evaluation, Femme, Homme, Espagne, Europe, Prévention, Mammographie, Radiodiagnostic, Glande mammaire pathologie

    Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Medical screening, Cost efficiency analysis, Health economy, Sanitary program, Evaluation, Woman, Human, Spain, Europe, Prevention, Mammography, Radiodiagnosis, Mammary gland diseases

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0240095

    Code Inist : 002B20E01. Création : 199608.