Lower costs of hospital treatment of breast cancer through a population-based mammography screening programme

European Journal of Public Health
L KauhavaP J Klemi

Abstract

The objective of this study was to evaluate the hospital treatment costs of invasive breast cancer in relation to the mode of detection, i.e. by mammography screening, between screenings or without screening during a population-based mammography screening programme, which started in 1987 among 36,000 women aged 40 to 74 years in the city of Turku, Southwest Finland. The treatment costs and survival days of 556 women diagnosed with invasive breast cancer at the age of 40 to 74 years in 1987 to 1993 were followed up for five years from diagnosis or until death, whichever occurred first. Screen-detected cancers had the lowest average costs. The mean treatment costs per patient were 1.4-fold for clinical cancers and 1.3-fold for interval cancers compared to screen-detected cancers (p<0.001). The corresponding ratios in the mean treatment costs per survival day were 3.5 for clinical cancers and 1.9 for interval cancers (p<0.001). The mean treatment costs per patient were 1.3-fold for the non-screened group (clinical cancers) compared to the screened group (screen-detected and interval cancers) (p<0.001). The corresponding ratio was 3, when the mean treatment costs per survival day were compared (p<0.001). The estimated savings resul...Continue Reading

Citations

Mar 16, 2006·Breast Cancer Research and Treatment·Lea KauhavaPekka J Klemi
Dec 22, 2004·Cancer·Pirjo Immonen-RäihäPekka J Klemi
Oct 17, 2008·The Breast : Official Journal of the European Society of Mastology·Lea KauhavaPekka J Klemi
May 16, 2006·Seminars in Roentgenology·Gary J WhitmanBianca N Gonzales
Aug 5, 2015·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Tron A MogerEline Aas
Apr 21, 2020·Australian and New Zealand Journal of Public Health·Karinna SaxbyDennis Petrie

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