دورية أكاديمية
The financial impact of a breast cancer detected within and outside of screening: lessons from the Australian Lifepool cohort.
العنوان: | The financial impact of a breast cancer detected within and outside of screening: lessons from the Australian Lifepool cohort. |
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المؤلفون: | Saxby K; Centre for Health Economics, Monash Business School, Monash University, Victoria., Nickson C; Cancer Research Unit, Cancer Council NSW, New South Wales.; Melbourne School of Population and Global Health, University of Melbourne, Victoria.; School of Public Health, The University of Sydney, New South Wales., Mann GB; The Breast Service, Royal Melbourne and Royal Women's Hospital, Victoria.; Department of Surgery, The University of Melbourne, Victoria., Velentzis L; Cancer Research Unit, Cancer Council NSW, New South Wales.; Melbourne School of Population and Global Health, University of Melbourne, Victoria.; School of Public Health, The University of Sydney, New South Wales., Bromley HL; Health Economics Unit, University of Birmingham, UK.; Melbourne School of Population and Global Health, University of Melbourne, Victoria., Procopio P; Cancer Research Unit, Cancer Council NSW, New South Wales.; Melbourne School of Population and Global Health, University of Melbourne, Victoria.; School of Public Health, The University of Sydney, New South Wales., Canfell K; Cancer Research Unit, Cancer Council NSW, New South Wales.; School of Public Health, The University of Sydney, New South Wales., Petrie D; Centre for Health Economics, Monash Business School, Monash University, Victoria. |
المصدر: | Australian and New Zealand journal of public health [Aust N Z J Public Health] 2020 Jun; Vol. 44 (3), pp. 219-226. Date of Electronic Publication: 2020 Apr 20. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 9611095 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1753-6405 (Electronic) Linking ISSN: 13260200 NLM ISO Abbreviation: Aust N Z J Public Health Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2023- : [New York] : Elsevier Original Publication: Canberra, ACT : Public Health Association of Australia, [1996- |
مواضيع طبية MeSH: | Breast Neoplasms/*diagnosis , Carcinoma, Intraductal, Noninfiltrating/*diagnosis , Early Detection of Cancer/*economics , Health Care Costs/*statistics & numerical data , Health Services/*statistics & numerical data , Mammography/*economics , Mass Screening/*economics, Adult ; Aged ; Australia/epidemiology ; Breast Neoplasms/epidemiology ; Carcinoma, Intraductal, Noninfiltrating/epidemiology ; Cohort Studies ; Female ; Health Services/economics ; Humans ; Middle Aged ; Neoplasm Staging ; Registries |
مستخلص: | Objective: To determine the government and out-of-pocket community costs (out-of-hospital medical services and prescription medicines) associated with screen-detected and community-detected cancers (i.e. cancers detected outside of Australia's organised screening program [BreastScreen]). Methods: We analyse administrative data on government-subsidised medical services and prescription medicines for 568 Victorian women diagnosed with breast cancer or ductal carcinoma in situ (DCIS). Using multivariable regression analysis, we estimate the government and out-of-pocket community costs incurred in the three years after diagnosis for screen-detected cancers and community-detected cancers. Additionally, we estimate the government costs associated with diagnosis within and outside of BreastScreen. Results: Average government costs for breast cancer diagnosis were similar within and outside of BreastScreen [$808 (lower limit 676; upper limit 940) vs $837 (95%CI 671; 1,003) respectively]; however, women with community-detected cancers incurred an additional $254 (95%CI 175; 332) out-of-pocket. Controlling for differences in known cancer characteristics, compared to screen-detected cancers, community-detected breast cancers were associated with an additional $2,622 (95%CI 644; 4,776) in government expenditure in the three years following diagnosis. Adverse cancer characteristics that were more prevalent in community-detected cancers (high grade, lymph node involvement, HER2 positive receptor status) were associated with increased government and out-of-pocket costs. Conclusions: Community-detected breast cancers were associated with increased government and out-of-pocket costs. Implications for public health: These costs should be considered when evaluating current and alternative breast cancer screening strategies. (© 2020 The Authors.) |
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معلومات مُعتمدة: | 1066771 Cancer Australia National Priority Grant |
فهرسة مساهمة: | Keywords: breast cancer; costs; healthcare use; out-of-pocket; screening |
تواريخ الأحداث: | Date Created: 20200421 Date Completed: 20200724 Latest Revision: 20200724 |
رمز التحديث: | 20240628 |
DOI: | 10.1111/1753-6405.12976 |
PMID: | 32311194 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1753-6405 |
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DOI: | 10.1111/1753-6405.12976 |