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Cost-Effectiveness of Breast Cancer Screening in Turkey, a Developing Country: Results from Bahçesehir Mammography Screening Project.
Özmen, Vahit; Gürdal, Sibel Ö; Cabioglu, Neslihan; Özcinar, Beyza; Özaydin, A Nilüfer; Kayhan, Arda; Aribal, Erkin; Sahin, Cennet; Saip, Pinar; Alagöz, Oguzhan.
Afiliación
  • Özmen V; Department of Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Gürdal SÖ; Departments of Surgery, Namik Kemal University School of Medicine, Tekirdag, Turkey.
  • Cabioglu N; Department of Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Özcinar B; Department of Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
  • Özaydin AN; Department of Public Health, Marmara University School of Medicine, Istanbul, Turkey.
  • Kayhan A; Departments of Radiology, University Health Sciences, Istanbul Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.
  • Aribal E; Department of Radiology, Marmara University School of Medicine, Istanbul, Turkey.
  • Sahin C; Department of Radiology, University Health Sciences, Istanbul Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
  • Saip P; Department of Medical Oncology, Istanbul University School of Medicine, Istanbul, Turkey.
  • Alagöz O; Department of Industrial & Systems Engineering and Population Health Sciences, UW Carbone Cancer Center, University of Wisconsin Hospital and Clinics, Madison, WI, USA.
Eur J Breast Health ; 13(3): 117-122, 2017 Jul.
Article en En | MEDLINE | ID: mdl-28894850
OBJECTIVE: We used the results from the first three screening rounds of Bahcesehir Mammography Screening Project (BMSP), a 10-year (2009-2019) and the first organized population-based screening program implemented in a county of Istanbul, Turkey, to assess the potential cost-effectiveness of a population-based mammography screening program in Turkey. MATERIALS AND METHODS: Two screening strategies were compared: BMSP (includes three biennial screens for women between 40-69) and Turkish National Breast Cancer Registry Program (TNBCRP) which includes no organized population-based screening. Costs were estimated using direct data from the BMSP project and the reimbursement rates of Turkish Social Security Administration. The life-years saved by BMSP were estimated using the stage distribution observed with BMSP and TNBCRP. RESULTS: A total of 67 women (out of 7234 screened women) were diagnosed with breast cancer in BMSP. The stage distribution for AJCC stages O, I, II, III, IV was 19.4%, 50.8%, 20.9%, 7.5%, 1.5% and 4.9%, 26.6%, 44.9%, 20.8%, 2.8% with BMSP and TNBCRP, respectively. The BMSP program is expected to save 279.46 life years over TNBCRP with an additional cost of $677.171, which implies an incremental cost-effectiveness ratio (ICER) of $2.423 per saved life year. Since the ICER is smaller than the Gross Demostic Product (GDP) per capita in Turkey ($10.515 in 2014), BMSP program is highly cost-effective and remains cost-effective in the sensitivity analysis. CONCLUSION: Mammography screening may change the stage distribution of breast cancer in Turkey. Furthermore, an organized population-based screening program may be cost-effective in Turkey and in other developing countries. More research is needed to better estimate life-years saved with screening and further validate the findings of our study.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Health_economic_evaluation / Screening_studies Aspecto: Patient_preference Idioma: En Revista: Eur J Breast Health Año: 2017 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Turquía

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Health_economic_evaluation / Screening_studies Aspecto: Patient_preference Idioma: En Revista: Eur J Breast Health Año: 2017 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Turquía