Daganatos betegségek korai felismerésére irányuló populációs szintû szûrôprogramok egészség-gazdaságtani elemzése-rendszerezett irodalmi áttekintés

Translated title of the contribution: Economic evaluation of population-based mass screening for the early detection of cancer: a systematic review

Muszbek Noémi, Koncz Tamás, V. Hajdú Piroska, R. Ádány

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: The increasing premature mortality due to cancer has made population based screening programs for cervical, breast and colorectal cancers inevitable in Hungary. However, when confronted with limited resources, the aim is that, within the budget constrain, the greatest possible health gain should be "produced". Methods: The authors made a systematic review of the international literature concerning the cost-effectiveness of screening programs for the above tumours. Results: In case of cervical cancer the Papanicolaou test, in case of breast cancer the mammography meet the WHO criteria for population-based mass screening. The well-designed organised screening programs are more cost-effective than the opportunistic screening. Among sexually active women, according to structure the mobile screening buses, according to age group screening of the 30-39 years old women seems the most favourable. For breast cancer, screening the 60-70 years old population every second year is the reference strategy from a health economic perspective. The cost-effectiveness results of either increasing the frequency of screening, extending the program for other age groups, or selecting a high-risk population are contradictory. In case of colorectal cancer there is no screening method, which would meet the WHO criteria. The two-day FOBT seems the most favourable, followed by colonoscopy for positive results, in the 55-74 years old population every second year. Conclusion: In addition to fulfilling requirements for a population-based screening method, the cost-effectiveness perspective should be taken into account. Muszbek N, Koncz T, V Hajdú P, Ádány R. Economic evaluation of population-based mass screening for the early detection of cancer: a systematic review. Hungarian Oncology 46:119-129, 2002.

Original languageHungarian
Pages (from-to)119-129
Number of pages11
JournalMagyar Onkologia
Volume46
Issue number2
Publication statusPublished - 2002

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Mass Screening
Early Detection of Cancer
Cost-Benefit Analysis
Population
Breast Neoplasms
Uterine Cervical Neoplasms
Colorectal Neoplasms
Age Groups
Papanicolaou Test
Premature Mortality
Hungary
Health
Motor Vehicles
Budgets
Mammography
Colonoscopy
Neoplasms
Economics
Costs and Cost Analysis

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Daganatos betegségek korai felismerésére irányuló populációs szintû szûrôprogramok egészség-gazdaságtani elemzése-rendszerezett irodalmi áttekintés. / Noémi, Muszbek; Tamás, Koncz; Piroska, V. Hajdú; Ádány, R.

In: Magyar Onkologia, Vol. 46, No. 2, 2002, p. 119-129.

Research output: Contribution to journalArticle

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