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The costs and effects of cervical and breast cancer screening in a public hospital emergency room

Author

Listed:
  • Mandelblatt, J.
  • Freeman, H.
  • Winczewski, D.
  • Cagney, K.
  • Williams, S.
  • Trowern, R.
  • Tang, J.
  • Gold, K.
  • Lin Hsiang, T.
  • Kemer, J.

Abstract

Objectives: This study assessed the cost-effectiveness of cervix and breast cancer screening in a public hospital emergency room. Methods: Age- eligible women with nonurgent conditions and without recent screening were offered screening by a nurse. A decision analysis compared the costs and outcomes of emergency room screening and standard hospital screening efforts. Results: The undiscounted cost-effectiveness results for establishing new programs were $4050 (cervical cancer), $403 203 (breast cancer), and $4375 (joint cervix and breast cancer) per year of life saved. If screening is added to an existing program, results are more favorable ($429, $21 324, and $479 per year of life saved for cervix, breast, and joint screening, respectively). Results were most sensitive to volume and probability of receiving treatment after an abnormal screen. Conclusions: Emergency room screening was cost-effective for cervical cancer; breast cancer screening was relatively expensive given the low number of women reached. More intensive recruitment and follow-up strategies are needed to maximize the cost- effectiveness of such programs.

Suggested Citation

  • Mandelblatt, J. & Freeman, H. & Winczewski, D. & Cagney, K. & Williams, S. & Trowern, R. & Tang, J. & Gold, K. & Lin Hsiang, T. & Kemer, J., 1997. "The costs and effects of cervical and breast cancer screening in a public hospital emergency room," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1182-1189.
    • Handle: RePEc:aph:ajpbhl:1997:87:7:1182-1189_1
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    Cited by:

    1. Edward C. Mansley & Diane O. Duñet & Daniel S. May & Sajal K. Chattopadhyay & Matthew T. Mckenna, 2002. "Variation in Average Costs among Federally Sponsored State-Organized Cancer Detection Programs: Economies of Scale?," Medical Decision Making, , vol. 22(1_suppl), pages 67-79, September.

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