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- Title
Cost‐effectiveness of oral cancer screening approaches by visual examination: Systematic review.
- Authors
Thankappan, Krishnakumar; Subramanian, Sujha; Balasubramanian, Deepak; Kuriakose, Moni Abraham; Sankaranarayanan, Rengaswamy; Iyer, Subramania
- Abstract
The present study is the first systematic review of papers that have performed a full economic evaluation on oral cancer screening strategies using visual oral examination. The review questions were (1) Is screening a cost‐effective strategy in oral cancer? (2) What is the most cost‐effective strategy among the different screening approaches in oral cancer? The main outcome measure was the incremental cost‐effectiveness ratio. The study identifies and reviews seven full economic evaluations. The included studies scored 75%–100% on the methodological appraisal. Majority of the studies reports that oral cancer screening is a cost‐effective strategy, especially in an opportunistic setting and high‐risk subset of patients. The results were sensitive to cost and effectiveness parameters. Oral cancer screening, though found cost‐effective, the uncertainty around these parameters necessitates additional studies that include better estimates in the modeling assessments. The heterogeneity in studies limited comparison and generalization.
- Subjects
ORAL cancer; EARLY detection of cancer; COST effectiveness
- Publication
Head & Neck, 2021, Vol 43, Issue 11, p3646
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.26816