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Considerations for Evaluating the Introduction of New Cancer Screening Technology: Use of Interval Cancers to Assess Potential Benefits and Harms

Author

Listed:
  • Rachel Farber

    (Wiser Healthcare, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2006, Australia)

  • Nehmat Houssami

    (Wiser Healthcare, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2006, Australia
    The Daffodil Centre, The University of Sydney, A Joint Venture with Cancer Council NSW, Sydney 2006, Australia)

  • Isabelle Barnes

    (Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2006, Australia
    Centre for Women’s Health Research, College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan 2308, Australia
    Australian Longitudinal Study on Women’s Health, The University of Newcastle, Callaghan 2308, Australia)

  • Kevin McGeechan

    (Wiser Healthcare, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2006, Australia)

  • Alexandra Barratt

    (Wiser Healthcare, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2006, Australia)

  • Katy J. L. Bell

    (Wiser Healthcare, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2006, Australia)

Abstract

This framework focuses on the importance of the consideration of the downstream intermediate and long-term health outcomes when a change to a screening program is introduced. The authors present a methodology for utilising the relationship between screen-detected and interval cancer rates to infer the benefits and harms associated with a change to the program. A review of the previous use of these measures in the literature is presented. The framework presents other aspects to consider when utilizing this methodology, and builds upon an existing framework that helps researchers, clinicians, and policy makers to consider the impacts of changes to screening programs on health outcomes. It is hoped that this research will inform future evaluative studies to assess the benefits and harms of changes to screening programs.

Suggested Citation

  • Rachel Farber & Nehmat Houssami & Isabelle Barnes & Kevin McGeechan & Alexandra Barratt & Katy J. L. Bell, 2022. "Considerations for Evaluating the Introduction of New Cancer Screening Technology: Use of Interval Cancers to Assess Potential Benefits and Harms," IJERPH, MDPI, vol. 19(22), pages 1-17, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:14647-:d:966553
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    References listed on IDEAS

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    1. Patrick M. M. Bossuyt & Kirsten McCaffery, 2009. "Additional Patient Outcomes and Pathways in Evaluations of Testing," Medical Decision Making, , vol. 29(5), pages 30-38, September.
    2. Tron Anders Moger & Åsne Holen & Berit Hanestad & Solveig Hofvind, 2022. "Costs and Effects of Implementing Digital Tomosynthesis in a Population-Based Breast Cancer Screening Program: Predictions Using Results from the To-Be Trial in Norway," PharmacoEconomics - Open, Springer, vol. 6(4), pages 495-507, July.
    3. Kui Son Choi & Jae Kwan Jun & Eun-Cheol Park & Sohee Park & Kyu Won Jung & Mi Ah Han & Il Ju Choi & Hoo-Yeon Lee, 2012. "Performance of Different Gastric Cancer Screening Methods in Korea: A Population-Based Study," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-8, November.
    Full references (including those not matched with items on IDEAS)

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