Economic impact of automated primary screening for cervical cancer

被引:0
|
作者
Smith, BL
Lee, M
Leader, S
Wertlake, P
机构
[1] Res Solut, Redlands, CA 92373 USA
[2] Univ Calif Los Angeles, Sch Publ Hlth, Los Angeles, CA 90024 USA
[3] Unilab, Tarzana, CA USA
[4] Pracon, Reston, VA USA
关键词
cervix neoplasms; mass screening; computer-assisted diagnosis; cost effectiveness; AutoPap;
D O I
暂无
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: To construct a markovian model to project the marginal cost of the AutoPap(R) System as compared to manual cervical cytologic screening. STUDY DESIGN: Data from a clinical trial and published literature were entered into a seven-state markovian decision-analytic model to estimate the marginal cost per year of life saved that could be attributed to changes in primary screening technology. RESULTS: Annual screening with AutoPap(R) produced a meaningful increase in life expectancy of 32.1 days relative to manual screening at a marginal savings of $628 per person (or a marginal savings of $7,144 per life-year saved). Less frequent screening yielded lower positive savings. CONCLUSION: Automated screening for cervical cancer has the potential to significantly improve health care outcomes and reduce cost.
引用
收藏
页码:518 / 528
页数:11
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