Cost-effectiveness of an intervention to increase cancer screening in primary care settings

Preventive Medicine
Thomas N ChirikosRichard G Roetzheim

Abstract

The main goal was to conduct a cost-effectiveness analysis of an intervention designed to increase cancer screening rates in primary care settings serving disadvantaged populations. The Cancer Screening Office Systems intervention reminded clinicians whether screening mammography, Pap smears, and/or fecal occult blood tests were up-to-date in eligible patients and then established a division of office responsibilities to ensure that tests were ordered and completed. The cost-effectiveness analysis was predicated on data generated from a cluster-randomized controlled trial of Cancer Screening Office Systems conducted at eight clinics participating in a county-funded health insurance plan in Florida. Cost numerators were computed from estimated time inputs of both clinical personnel and patients valued at nationally representative wages as well as expenses for Cancer Screening Office Systems-related materials and overhead. Effectiveness denominators were constructed from net changes in screening rates observed experimentally over a 12-month follow-up. Two types of incremental cost-effectiveness ratios were computed: the cost per extra screening test by type and the cost per life-year saved without and with Cancer Screening Office...Continue Reading

Associated Clinical Trials

References

Sep 20, 1995·JAMA : the Journal of the American Medical Association·K K Lindfors, C J Rosenquist
Jan 1, 1993·Annual Review of Public Health·E WhiteV Taylor
Nov 15, 1997·Archives of Internal Medicine·B E Weber, B M Reilly
Feb 3, 2000·Journal of the National Cancer Institute·S H TaplinS Curry
Sep 29, 2000·Health Education & Behavior : the Official Publication of the Society for Public Health Education·K P DeroseR Kington
Oct 18, 2000·JAMA : the Journal of the American Medical Association·A L FrazierK M Kuntz
Nov 30, 2000·The American Journal of Gastroenterology·J F HelmR S Sandler
Nov 29, 2002·Health Education & Behavior : the Official Publication of the Society for Public Health Education·M Robyn AndersenNicole Urban
Sep 1, 2004·Annals of Family Medicine·Richard G RoetzheimJeffrey P Krischer
Nov 18, 2006·Cancer Detection and Prevention·Victoria L ChampionKathleen M Russell
Oct 30, 2010·Experimental and Clinical Endocrinology & Diabetes : Official Journal, German Society of Endocrinology [and] German Diabetes Association·Y HayashinoM Kobayashi

❮ Previous
Next ❯

Citations

May 28, 2011·Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi·Swati MisraSally W Vernon
Jun 27, 2006·Journal of the American Medical Informatics Association : JAMIA·David R LairsonAnthony Greisinger
Oct 15, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Veena ShankaranSherri Sheinfeld Gorin
Jun 20, 2013·International Journal of Technology Assessment in Health Care·Paula CroninJody Church
Apr 25, 2012·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·W H RogowskiS Palmer
May 15, 2013·Evaluation and Program Planning·David R LairsonMaría E Fernández
May 21, 2014·American Journal of Preventive Medicine·David R LairsonKatherine M Wilson
Jan 1, 2012·Scientifica·Leiyu Shi
Mar 10, 2015·Evaluation and Program Planning·David R LairsonVictoria L Champion
Nov 15, 2014·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Cristian Ioan Meghea, Karen Patricia Williams
Nov 21, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Veena ShankaranTom D Denberg
May 17, 2019·The International Journal of Health Planning and Management·Olena LevenetsWim Groot

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.