Cost-Effectiveness Analysis of Breast Cancer Screening in Rural Iran

Zehtab, Nooshin; Jafari, Mohammad; Barooni, Mohsen; Nakhaee, Nouzar; Goudarzi, Reza; Zadeh, Mohammad Hassan

doi:10.7314/apjcp.2016.17.2.609

Cited by 12 publications

(18 citation statements)

References 22 publications

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“…The acceptable coverage of screening not only depends on developing well-organized national policies, but also needs interventions to improve knowledge and create a positive attitude toward screening methods in the population at risk ( 39 ). A study of the rural areas of Iran demonstrated that the cost-effectiveness of screening programs significantly depended on the extent of participation, highlighting the importance of focusing on improving knowledge and acceptance ( 40 ). Almost all MENA countries lack a nationally organized cancer screening program and have numerous cultural and socioeconomic barriers toward screening ( 5 , 41 , 42 ).…”

Section: Discussionmentioning

confidence: 99%

National and Subnational Incidence, Mortality, and Years of Life Lost Due to Breast Cancer in Iran: Trends and Age-Period-Cohort Analysis Since 1990

et al. 2021

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Breast cancer is the most common cancer among women, causing considerable burden and mortality. Demographic and lifestyle transitions in low and low-middle income countries have given rise to its increased incidence. The successful management of cancer relies on evidence-based policies taking into account national epidemiologic settings. We aimed to report the national and subnational trends of breast cancer incidence, mortality, years of life lost (YLL) and mortality to incidence ratio (MIR) since 1990. As part of the National and Subnational Burden of Diseases project, we estimated incidence, mortality and YLL of breast cancer by sex, age, province, and year using a two-stage spatio-temporal model, based on the primary dataset of national cancer and death registry. MIR was calculated as a quality of care indicator. Age-period-cohort analysis was used to distinguish the effects of these three collinear factors. A significant threefold increase in age-specific incidence at national and subnational levels along with a twofold extension of provincial disparity was observed. Although mortality has slightly decreased since 2000, a positive mortality annual percent change was detected in patients aged 25–34 years, leading to raised YLLs. A significant declining pattern of MIR and lower provincial MIR disparity was observed. We observed a secular increase of breast cancer incidence. Further evaluation of risk factors and developing national screening policies is recommended. A descending pattern of mortality, YLL and MIR at national and subnational levels reflects improved quality of care, even though mortality among younger age groups should be specifically addressed.

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Section: Discussionmentioning

confidence: 99%

National and Subnational Incidence, Mortality, and Years of Life Lost Due to Breast Cancer in Iran: Trends and Age-Period-Cohort Analysis Since 1990

et al. 2021

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“…Their study also emphasized that a great number of cases with the breast cancer are found through the screening method. 11 …”

Section: Introductionmentioning

confidence: 99%

Breast cancer publication network: profile of co-authorship and co-organization

2016

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Introduction: Breast cancer is one of the highest reasons of deaths for people in the world. The objective of current study is to analyze and visualize the trend of global scientific activities in the field of breast cancer during a period of 10 years through 2006-2015. Methods: The current study was performed by utilizing the scientometrics analysis and mapping the co-authorship and co-organization networks. The Web of Science Core Collection (WoS-CC)database was used to extract all papers indexed as a topic of breast cancer through 2006 to 2015. Research productivity was measured through analysis several parameters, including: the number and time course of publications, the journal and language of publications, the frequency and type of publications, as well as top 20 active sub-categories together with country contribution. The extracted data were transferred into the Excel charts and plotted as diagrams. The Science of Science (Sci2) and CiteSpace softwares were used as tools for mapping the co-authorship and co-organization networks of the published papers. Results: Analysis of data indicated that the number of publications in the field of breast cancer has linearly increased and correlated with the time-course of the study. The number of publication indexed in WoS-CC in 2015 was two times greater than that of 2006, which reached from 15 229 documents in 2006 to 30 667 documents in 2015. English Language accounted for 98% of total publications as the most dominant language. The vast majority of publications' type was in the form of original journal articles (64.7%). Based on Bradford scatterings law, the journal of "Cancer Research" was the most productive journal among the core journals, while the USA, China, and England were the most prolific countries in the field. The co-organization network indicated the dominant role of Harvard University in the field. Conclusion: The integrity of network indicated that scientists in the field of breast cancer working collaboratively to tackle the number one threat in women health.

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“…All conducted a full economic evaluation and cost-effectiveness analysis. A variety of perspectives were used, including that of the payer [22][23][24][25] ; society [26][27][28][29] ; healthcare provider 30,31 ; health system 32 ; government [33][34][35] ; and program perspective. 36 Time horizons to capture benefit, cost, and resources were reported in 13 studies, in the range of 5 months to a lifetime.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Twelve studies included only direct and recurrent costs, having excluded any start-up costs, [22][23][24][25][26][27][28][30][31][32][33][34]36 while 3 studies were considered to have included indirect costs in their analysis. 28,29,34 In terms of health outcomes, 9 studies reported one of the following primary health outcomes: years of survival, life expectancy, number of breast cancer deaths averted, mortality reduction, or disability-adjusted life-years (DALY).…”

Section: Study Characteristicsmentioning

confidence: 99%

Economic Evaluation of Breast Cancer Early Detection Strategies in Asia: A Systematic Review

Yuniar

Robinson

Moorin

et al. 2020

Value in Health Regional Issues

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Objective: This article aims to support the development of practical guidelines for early detection of breast cancer in Asia by systematically reviewing economic evaluation studies of such early detection strategies in Asian countries.Methods: A systematic literature review was conducted following the Cochrane Handbook and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols checklist. The quality of reviewed studies was examined using the Consolidated Health Economic Evaluation Reporting Standards statement.Results: A total of 15 articles on the economic evaluation of breast cancer early detection based in Asia were reviewed. Costeffectiveness was used in all the studies as the analytic method to compare the cost and consequences of different screening policies. Ten studies were categorized as incorporating the modeled approach. Fourteen studies analysed the costeffectiveness of the organized population-based approach, in which mammography screening was the prevailing screening modality. Only one study evaluated the cost-effectiveness of early diagnosis for breast cancer patients in order to provide early treatment. The results from the identified economic evaluations, and consequent recommendations concerning optimal early detection strategies varied among studies, and depended on key parameters and assumption used, as well as differences in inter-country health resources, breast cancer incidence, prevalence and early detection pathways. Conclusions:The economic evaluation of breast cancer early detection programs is still limited in Asia. Policy decisions on organized mammography screening in women ,50 are economically attractive in the region, despite the lack of evidence to provide recommendations on opportunistic screening strategy and early diagnosis strategy. Future studies need to provide better transparency of the data used and cover more comprehensive strategies, to make them relevant and adaptable to other Asian countries, resulting in clear policy recommendations on breast cancer early detection strategies.

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Cost-Effectiveness Analysis of Breast Cancer Screening in Rural Iran

Cited by 12 publications

References 22 publications

National and Subnational Incidence, Mortality, and Years of Life Lost Due to Breast Cancer in Iran: Trends and Age-Period-Cohort Analysis Since 1990

National and Subnational Incidence, Mortality, and Years of Life Lost Due to Breast Cancer in Iran: Trends and Age-Period-Cohort Analysis Since 1990

Breast cancer publication network: profile of co-authorship and co-organization

Economic Evaluation of Breast Cancer Early Detection Strategies in Asia: A Systematic Review

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