Abstract
PURPOSE: To evaluate the cost-effectiveness of screening mammography in women 40-49 years old. MATERIALS AND METHODS: A Markov model compared two hypothetical groups; one underwent screening mammography and the other, observation without mammography. Variables tested included frequency of mammography, reduction in breast cancer mortality, and cost-effectiveness by age group. Results were expressed as marginal cost per year of life saved. RESULTS: If the estimated mortality reduction from mammographic screening was 15% or greater, the marginal cost per year of life saved was comparable to that of other generally accepted medical procedures. Annual screening with an assumed 30% reduction in mortality had a cost-effectiveness similar to that of biennial screening with a 20% reduction. Screening mammography was less cost-effective in the 40-49-year-old age group than in women aged 50-79 years but more cost-effective than in those aged 80-84 years. CONCLUSION: Although the parameters for screening mammography in women aged 40-49 years are not known with certainty, the results of this analysis may help establish priorities for utilization of medical resources.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 647-650 |
| Number of pages | 4 |
| Journal | Radiology |
| Volume | 191 |
| Issue number | 3 |
| State | Published - Jun 1994 |
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Keywords
- Breast neoplasms, diagnosis, 00.31, 00.32
- Breast radiography, utilization, 00.11
- Cancer screening
ASJC Scopus subject areas
- Radiological and Ultrasound Technology
Cite this
Screening mammography in women aged 40-49 years : Analysis of cost-effectiveness. / Rosenquist, C. John; Lindfors, Karen K.
In: Radiology, Vol. 191, No. 3, 06.1994, p. 647-650.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Screening mammography in women aged 40-49 years
T2 - Analysis of cost-effectiveness
AU - Rosenquist, C. John
AU - Lindfors, Karen K
PY - 1994/6
Y1 - 1994/6
N2 - PURPOSE: To evaluate the cost-effectiveness of screening mammography in women 40-49 years old. MATERIALS AND METHODS: A Markov model compared two hypothetical groups; one underwent screening mammography and the other, observation without mammography. Variables tested included frequency of mammography, reduction in breast cancer mortality, and cost-effectiveness by age group. Results were expressed as marginal cost per year of life saved. RESULTS: If the estimated mortality reduction from mammographic screening was 15% or greater, the marginal cost per year of life saved was comparable to that of other generally accepted medical procedures. Annual screening with an assumed 30% reduction in mortality had a cost-effectiveness similar to that of biennial screening with a 20% reduction. Screening mammography was less cost-effective in the 40-49-year-old age group than in women aged 50-79 years but more cost-effective than in those aged 80-84 years. CONCLUSION: Although the parameters for screening mammography in women aged 40-49 years are not known with certainty, the results of this analysis may help establish priorities for utilization of medical resources.
AB - PURPOSE: To evaluate the cost-effectiveness of screening mammography in women 40-49 years old. MATERIALS AND METHODS: A Markov model compared two hypothetical groups; one underwent screening mammography and the other, observation without mammography. Variables tested included frequency of mammography, reduction in breast cancer mortality, and cost-effectiveness by age group. Results were expressed as marginal cost per year of life saved. RESULTS: If the estimated mortality reduction from mammographic screening was 15% or greater, the marginal cost per year of life saved was comparable to that of other generally accepted medical procedures. Annual screening with an assumed 30% reduction in mortality had a cost-effectiveness similar to that of biennial screening with a 20% reduction. Screening mammography was less cost-effective in the 40-49-year-old age group than in women aged 50-79 years but more cost-effective than in those aged 80-84 years. CONCLUSION: Although the parameters for screening mammography in women aged 40-49 years are not known with certainty, the results of this analysis may help establish priorities for utilization of medical resources.
KW - Breast neoplasms, diagnosis, 00.31, 00.32
KW - Breast radiography, utilization, 00.11
KW - Cancer screening
UR - http://www.scopus.com/inward/record.url?scp=0028284798&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028284798&partnerID=8YFLogxK
M3 - Article
C2 - 8184041
AN - SCOPUS:0028284798
VL - 191
SP - 647
EP - 650
JO - Radiology
JF - Radiology
SN - 0033-8419
IS - 3
ER -