Cost-effectiveness of multiple screening modalities on breast cancer in Chinese women from Shanghai
10.3760/cma.j.issn.0254-6450.2017.12.017
- VernacularTitle:上海市女性乳腺癌不同筛查模式的成本效果分析
- Author:
Fei WU
1
;
Miao MO
;
Xiaoxiao QIN
;
Hong FANG
;
Genming ZHAO
;
Guangyu LIU
;
Yingyao CHEN
;
Zhigang CAO
;
Yujie YAN
;
Lilang LYU
;
Wanghong XU
;
Zhimin SHAO
Author Information
1. 复旦大学公共卫生学院流行病学教研室教育部公共卫生安全重点实验室
- Keywords:
Breast cancer;
Screening;
Cost-effectiveness;
Markov model
- From:
Chinese Journal of Epidemiology
2017;38(12):1665-1671
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the most cost-effective modality for breast cancer screening in women living in Shanghai.Methods A Markov model for breast cancer was redeveloped based on true effect which was derived from a project for detection of women at high risk of breast cancer and an organized breast cancer screening program conducted simultaneously in Minhang district,Shanghai,during 2008 to 2012.Parameters of the model were derived from literatures.General principles related to cost-effectiveness analysis were used to compare the costs and effects of 12 different screening modalities in a simulated cohort involving 100 000 women aged 45 years.Incremental cost-effectiveness ratio (ICER) was used to determine the most cost-effective modality.Sensitivity analysis was conducted to evaluate how these factors affected the estimated cost-effectiveness.Results The modality of biennial CBE followed by ultrasonic and mammography among those with positive CBE was observed as the most cost-effective one.The costs appeared as 182 526 Yuan RMB per life year gained and 144 386 Yuan RMB per quality adjusted life-year (QALY) saved,which were within the threshold of 2-3 times of local per capita Gross Domestic Product.Results from sensitivity analysis showed that,due to higher incidence rate of breast cancer in Shanghai,the cost per QALY would be 64 836 Yuan RMB lower in Shanghai than the average level in China.Conclusion Our research findings showed that the biennial CBE program followed by ultrasonic and mammography for those with positive CBE results might serve as the optimal breast cancer screening modality for Chinese women living in Shanghai,and thus be widely promoted in this population elsewhere.
