Cost-effectiveness of digital mammography breast cancer screening

Cost-effectiveness of digital mammography breast cancer screening
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DOI:
10.7326/0003-4819-148-1-200801010-00002
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发表时间:
2008-01-01
影响因子:
39.2
通讯作者:
Pisano, Etta D.
Pisano, Etta D.
中科院分区:
医学1区
文献类型:
--
作者:
Tosteson, Anna N. A.;Stout, Natasha K.;Pisano, Etta D.

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背景资料:DMIST(数字乳腺X线摄影成像筛查试验)报告了在选定的人群亚组中,与胶片乳腺X线摄影相比,数字乳腺X线摄影可改善乳腺癌检测,但并未评估数字乳腺X线摄影相对于胶片乳腺X线摄影筛查的经济价值。数据来自DMIST和公开可用的美国数据。目标人群:40岁或以上的美国女性。时间范围:终身。视角:社会和医疗保险。干预措施:全胶片乳腺X射线摄影筛查;全数字乳腺X射线摄影筛查;以及针对性数字乳腺X射线摄影筛查,即针对年龄的数字乳腺X射线摄影(针对女性
Background: The DMIST (Digital Mammography Imaging Screening Trial) reported improved breast cancer detection with digital mammography compared with film mammography in selected population subgroups, but it did not assess the economic value of digital relative to film mammography screening.Objective: To evaluate the cost-effectiveness of digital mammography screening for breast cancer.Design: Validated, discrete-event simulation model.Data Sources: Data from DMIST and publicly available U.S. data.Target Population: U.S. women age 40 years or older.Time Horizon: Lifetime.Perspective: Societal and Medicare.Intervention: All-film mammography screening; all-digital mammography screening; and targeted digital mammography screening, which is age-targeted digital mammography (for women