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- Title
A longer breast carcinoma screening interval for women age older than 65 years?
- Authors
Boer, Rob; de Koning, Harry J.; van der Maas, Paul J.; Boer, R; de Koning, H J; van der Maas, P J
- Abstract
<bold>Background: </bold>The observed increase in sojourn time for preclinical breast carcinoma raises the question of whether women age >/= 65 years can be screened less frequently than younger women.<bold>Methods: </bold>A cost-utility analysis using a computer model that simulates the demography, epidemiology, and natural history of breast carcinoma to estimate expected life-years gained, extra incidence, extra life-years with disease, and costs incurred by different breast carcinoma screening programs in the general population was conducted.<bold>Results: </bold>The estimated ratio of favorable/unfavorable effects was lower for longer screening intervals compared with shorter screening intervals. The cost-effectiveness ratio was much less favorable in shorter screening intervals.<bold>Conclusions: </bold>The results of the current analysis showed that although a longer sojourn time for preclinical breast carcinoma should not necessarily be accompanied by a longer screening interval, a shorter screening interval was not very efficient.
- Publication
Cancer (0008543X), 1999, Vol 86, Issue 8, p1506
- ISSN
0008-543X
- Publication type
journal article
- DOI
10.1002/(SICI)1097-0142(19991015)86:8<1506::AID-CNCR17>3.0.CO;2-2