A framework for evaluating the cost-effectiveness of MRI screening for breast cancer

A framework for evaluating the cost-effectiveness of MRI screening for breast cancer
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DOI:
10.1007/pl00014118
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发表时间:
2000-01-01
期刊:
影响因子:
5.9
通讯作者:
Plevritis, SK
Plevritis, SK
中科院分区:
医学2区
文献类型:
--
作者:
Plevritis, SK

文献摘要

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本文介绍了一项评估乳腺癌磁共振成像(MRI)筛查的成本-效果的研究。MRI筛查相对于常规筛查的成本效益是研究组和对照组累积的总医疗费用除以研究组和对照组累积的总质量调整生命年的差异。目前,这一数字与每节省一个质量调整寿命年的成本效益阈值50 000美元相比较,假设计算遵循卫生和医学成本效益小组的建议。鉴于进行这种试验所需的投资和时间,应仔细考虑试验设计。
The article presents a study to evaluate the cost-effectiveness of magnetic resonance imaging (MRI) screening in breast cancer. The cost-effectiveness of MRI screening relative to conventional screening is the difference in the total health care costs accrued by the study group and the control group divided by the differ-ence in the total quality-adjusted life years accrued by the study group and the control group. This number is currently compared with a cost-effectiveness threshold of $50,000 per quality-adjusted life year saved, assuming the computations follow the recommendations made by the Panel on Cost-Effectiveness in Health and Medicine. Given the investment and time needed to conduct such a trial, careful consideration should be given to the trial design.