Mammography screening : an incremental cost effectiveness analysis of two view versus one view procedures in London.
To compare the costs and effects of routine mammography screening by a single mediolateral-oblique view and two views (mediolateral-oblique plus craniocaudal) of each breast.
Design-A cost effectiveness analysis of a prospective non-randomised trial comparing one and two view mammography screening was carried out at St Margaret's Hospital, Epping.
All women in the study had two view mammography.
The mediolateral-oblique view was always the first image read by the radiologist.
After reading the films for a clinic session, the same radiologist then went back and read both the mediolateral-oblique and craniocaudal views together.
Each set of films was read by two radiologists.
The main outcome measures were recall rates, number of cancers detected, screening and assessment costs, and cost effectiveness ratios.
Subjects-A total of 26 430 women who attended for breast screening using both one and two view mammography participated.
A sample of 132 women attending for assessment provided data on the private costs incurred in attending for assessment.
There was a reduction in the recall rate from 9.1% (2404 of 26 430) after one view screening to 6.7% (1760 of 26 430) after two view screening.
The results also suggest that for every 10 000 women screened an additional five cancers would be detected earlier with two view screening.
Mots-clés Pascal : Mammographie, Glande mammaire, Dépistage, Analyse coût efficacité, Economie santé, Homme, Femelle, Technique, Etude comparative, Tumeur maligne, Royaume Uni, Europe, Radiodiagnostic, Glande mammaire pathologie, Londres
Mots-clés Pascal anglais : Mammography, Mammary gland, Medical screening, Cost efficiency analysis, Health economy, Human, Female, Technique, Comparative study, Malignant tumor, United Kingdom, Europe, Radiodiagnosis, Mammary gland diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0137641
Code Inist : 002B20E02. Création : 09/06/1995.