Public Health

Breast Cancer Screening in Europe by Adel Gad, Marco Rosselli Del Turco

By Adel Gad, Marco Rosselli Del Turco

As managed trials have validated that during many ecu nations breast melanoma mortality can be decreased via population-based mammographic screening of girls over the age of fifty, there's mounting strain to introduce new provider screening programmes. How may still those programmes be deliberate and monitored ? Is it economical ? We invited specialists whowork with the significant screening programmes in Europe to respond to those questions and to explain their studies. Particualr awareness has been given to making plans, agency and tracking new screening programmes for you to in attaining optimum results.

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Extra resources for Breast Cancer Screening in Europe

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M. J. van Oortmarssen REFERENCES 2 3 4 5 6 7 8 9 Warner KE, Luce BR: Cost-benefit and costeffectiveness analysis in health care. Health Administration Press, Ann Arbor 1982 Drummond MF, Stodddart GL, Torrance GW: Methods for the economic evaluation of health care programmes. Oxford University Press, Oxford 1987 Habbema JDF, van Oortmarssen GJ, Lubbe JThN et al: The MISCAN simulation program for the evaluation of screening for disease. Comput Meth Prcgr Biomed 1984 (20):79-93 Habbema JDF, Lubbe JTh N, van Oortmarssen GJ et al: A simulation approach to cost-effectiveness and cost benefit calculations of screening for early detection of disease.

Assumptions are presented concerning the duration of preclinical disease, sensitivity of mammography, and breast cancer mortality reduction. These assumptions were derived in the analysis phase of the cost-effectiveness study for breast cancer screening. For a description of the analysis phase of MISCAN, see [12]. The Prospective Evaluation Phase In the evaluation phase, different screening policies have to be assessed for their costs, risks, benefits and other consequences. This requires a large number of other assumptions based on different research.

Table 4 summarises 8 other factors, which appear to ac- 31 count for more than a 5% difference in CE ratio, if varied within plausible ranges. The only variable for which our estimate may well have resulted in too high a predicted CE ratio for the principal policy is the cost for women with advanced breast cancer. We have used a moderate average cost estimate per treatment [14]. Future treatment modalities will definitely increase the costs, which could result in higher predicted savings due to screening.

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