Economic Evaluations of Breast Cancer Care in Low- and Middle-Income Countries: A Scoping Review.
Economic Evaluations of Breast Cancer Care in Low- and Middle-Income Countries: A Scoping Review.
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低收入和中等收入国家对乳腺癌护理的经济评估：范围审查。
DOI：
10.1002/onco.13841
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发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Fadelu T
中科院分区：
文献类型：
--
作者：
Erfani P;Bhangdia K;Stauber C;Mugunga JC;Pace LE;Fadelu T
了解在低收入和中等收入国家（LMIC）提供乳腺癌（BC）护理的成本对于指导有效的护理提供策略至关重要。本范围审查总结了关于低收入国家BC护理成本的文献范围，并描述了这些经济评价的方法。截至2020年3月，在5个数据库和灰色文献中进行了系统性文献检索。对研究进行筛选，以识别包括LMIC中BC诊断或治疗的成本结果的原始文章。两名独立评审员评估了文章的合格性。提取与研究特征和方法学相关的数据。使用Drummond et al.检查表评估研究质量。纳入了38个国家的91篇文章。大多数（73%）研究发表于2013年至2020年。低收入国家（2%）和撒哈拉以南非洲国家（9%）的代表性严重不足。大多数研究（60%）使用了医疗保健系统的视角。30项研究（33%）未报告时间范围。在估计BC护理途径中多个步骤的成本的33项研究中，大多数（73%）是高质量的，但研究在纳入非医疗直接和间接成本方面存在差异。在过去十年中，低收入国家的BC经济评价数量大幅增长，但来自低收入国家，特别是撒哈拉以南非洲国家的数据仍然有限。在这些国家，应优先进行业连经济评价。利用现有的经济评价框架可能有助于进行可比、透明的成本计算分析。在过去十年中，低收入和中等收入国家（LMIC）的乳腺癌经济评估数量大幅增长，但低收入国家的数据仍然有限。低收入国家和撒哈拉以南非洲地区应优先考虑乳腺癌经济评估。研究人员应努力使用和报告成本计算视角和时间范围，以捕捉与研究目标相关的所有成本，包括直接非医疗和间接成本。在低收入国家使用现有的经济评估框架可能有助于实现可比的、透明的成本分析，以指导乳腺癌控制战略。这篇综述总结了低收入和中等收入国家乳腺癌护理成本的文献。
Understanding the cost of delivering breast cancer (BC) care in low‐ and middle‐income countries (LMICs) is critical to guide effective care delivery strategies. This scoping review summarizes the scope of literature on the costs of BC care in LMICs and characterizes the methodological approaches of these economic evaluations. A systematic literature search was performed in five databases and gray literature up to March 2020. Studies were screened to identify original articles that included a cost outcome for BC diagnosis or treatment in an LMIC. Two independent reviewers assessed articles for eligibility. Data related to study characteristics and methodology were extracted. Study quality was assessed using the Drummond et al. checklist. Ninety‐one articles across 38 countries were included. The majority (73%) of studies were published between 2013 and 2020. Low‐income countries (2%) and countries in Sub‐Saharan Africa (9%) were grossly underrepresented. The majority of studies (60%) used a health care system perspective. Time horizon was not reported in 30 studies (33%). Of the 33 studies that estimated the cost of multiple steps in the BC care pathway, the majority (73%) were of high quality, but studies varied in their inclusion of nonmedical direct and indirect costs. There has been substantial growth in the number of BC economic evaluations in LMICs in the past decade, but there remain limited data from low‐income countries, especially those in Sub‐Saharan Africa. BC economic evaluations should be prioritized in these countries. Use of existing frameworks for economic evaluations may help achieve comparable, transparent costing analyses. There has been substantial growth in the number of breast cancer economic evaluations in low‐ and middle‐income countries (LMICs) in the past decade, but there remain limited data from low‐income countries. Breast cancer economic evaluations should be prioritized in low‐income countries and in Sub‐Saharan Africa. Researchers should strive to use and report a costing perspective and time horizon that captures all costs relevant to the study objective, including those such as direct nonmedical and indirect costs. Use of existing frameworks for economic evaluations in LMICs may help achieve comparable, transparent costing analyses in order to guide breast cancer control strategies. This review summarizes the literature on the cost of breast cancer care in low‐ and middle‐income countries.
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DOI：
10.5539/gjhs.v7n1p98
发表时间：
2014-08-14
期刊：
Global journal of health science
影响因子：
--
作者：
Aboutorabi A;Hadian M;Ghaderi H;Salehi M;Ghiasipour M
通讯作者：
Ghiasipour M
影响因子：
3.7
作者：
Ansaripour A;Zendehdel K;Tadayon N;Sadeghi F;Uyl-de Groot CA;Redekop WK
通讯作者：
Redekop WK
DOI：
10.1590/s0102-86502012000500006
发表时间：
2012-05-01
期刊：
Acta Cirúrgica Brasileira
影响因子：
--
作者：
Lima, Débora Eleotério de;Veiga Filho, Joel;Ferreira, Lydia Masako
通讯作者：
Ferreira, Lydia Masako
DOI：
10.15446/rsap.v16n2.31690
发表时间：
2014-03-01
期刊：
Revista de Salud Pública
影响因子：
--
作者：
Chicaíza-Becerra, Liliana;García-Molina, Mario;Castañeda-Orjuela, Carlos
通讯作者：
Castañeda-Orjuela, Carlos
影响因子：
3.8
作者：
Bai, Yongrui;Ye, Ming;Wu, Bin
通讯作者：
Wu, Bin