Objective To determine the cost effectiveness of two view mammography at incident screens.
Design Incremental cost effectiveness analyses recognising differences in current reading policy, based on effectiveness data from an observational study.
Setting Breast screening programmes in England and Wales.
Main outcome measures Health service costs, cancers detected, incremental cost effectiveness ratios per cancer detected, whole time equivalent staff.
Results For programmes currently using one view with some form of double reading, the incremental cost effectiveness ratio of two view mammography at incident screens ranged between £6589 and £6716, depending on the reading policy.
For programmes currently using one view with single reading, two policy options were found to be more efficient than two view single reading : one view with double reading (arbitration ; incremental cost effectiveness ratio of £210) and two view double reading (arbitration).
If programmes using one view with single reading changed to double reading (arbitration) and then subsequently to two views double reading (arbitration), additional cancers could be detected with an incremental cost effectiveness ratio of £7983.
The implementation cost of two view mammography at incident screens in programmes in England and Wales would be £2.9 million and would require 13.4 whole time equivalent radiologists. (...)
Mots-clés Pascal : Mammographie, Dépistage, Analyse coût efficacité, Tumeur maligne, Glande mammaire, Politique sanitaire, Economie santé, Homme, Femelle, Radiodiagnostic, Glande mammaire pathologie
Mots-clés Pascal anglais : Mammography, Medical screening, Cost efficiency analysis, Malignant tumor, Mammary gland, Health policy, Health economy, Human, Female, Radiodiagnosis, Mammary gland diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0514805
Code Inist : 002B24A08. Création : 18/05/2000.