Cost-effectiveness of Lung Cancer Screening in Canada

Abstract

Lung cancer screening with LDCT appears cost-effective in the publicly funded Canadian health care system. An adjunct smoking cessation program has the potential to improve outcomes.

Implementing Low-Dose Computed Tomography Screening for Lung Cancer in Canada: Implications of Alternative At-Risk Populations, Screening Frequency, and Duration

“…The results of modelling the nlst data over a 20-year period are encouraging from the clinical perspective, because ldct screening is projected to result in 51,000 health-related qalys gained, with an icer of about $50,000 per qaly 17 . Other estimates of the cost-effectiveness of ldct screening have fallen within a similar range [39][40][41] .…”

“…Compared with no screening, ldct resulted in an icer of $52,000 per qaly 17 . Changes in participation rates altered the number of lygs and the total cost, but not the icer.…”

“…By applying the nlst eligibility criteria and participation and adherence rates within the crmm, the costeffectiveness of a pan-Canadian ldct screening program has been estimated 17 . Compared with no screening, ldct resulted in an icer of $52,000 per qaly 17 .…”

“…In an earlier publication, we demonstrated that implementation of an nlst-like program in the Canadian context had an incremental cost-effectiveness ratio (icer) of $52,000 per quality-adjusted life year (qaly) 17 . When smoking history was modelled for 20 or 40 pack-years, the icers generated were, respectively, $62,000 and $43,000 per qaly.…”

Az alacsony dózisú CT-vel végzett tüdőrákszűrés magyarországi egészség-gazdaságtani elemzésének koncepcionális terve

“…Az irodalomkutatás során 16 olyan költség-hatékonysági modellt találtunk a szakirodalomban, amely az alacsony dózisú CT-vel történő tüdőrákszűrést értékeli (1. táblá-zat) [8,11,[22][23][24][25][26][27][28][29][30][31][32][33][34][35]. Black és mtsai az NLST vizsgálat mentén készült értékelésükben az alacsony dózisú CTvel történő szűrést a szűrés elmaradásának alternatívájá-val, valamint a mellkasröntgennel való szűréssel is össze-vetették.…”