Economics of Notification and Medical Screening for High-Risk Workers

Ruttenberg, Ruth; Powers, Marilyn

doi:10.1097/00043764-198608000-00041

Cited by 10 publications

(4 citation statements)

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“…In the US, 2006 total cancer costs were estimated at $206.3B with estimated productivity losses of $17.9B for cancer-related morbidity and $110.2B for cancer-related mortality [ 3 ]. On average, 12 years of income-producing life are lost with each premature death [ 6 ]. Among cancers in the US, BC has the highest pp treatment costs, and the 5th highest overall cost [ 5 ], estimated at $3.4B annually with $2.9B in direct treatment-related costs, and indirect costs of $184,762 to $461,907 pp [ 7 ].…”

Section: Resultsmentioning

confidence: 99%

Economic aspects of bladder cancer: what are the benefits and costs?

et al. 2009

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Objective Bladder cancer (BC) has the highest lifetime treatment costs per patient of all cancers. The high recurrence rate and ongoing invasive monitoring requirement are the key contributors to the economic and human toll of this disease. The purpose of this paper was to utilize the recent literature to identify opportunities for improving the beneWts and costs of BC care. Methods A PubMed search was performed of recent publications concerning (BC) cost-eVectiveness. We reviewed studies, reviews, opinion papers and cost-eVectiveness analyses, focusing primarily on non-muscle-invasive bladder cancer (Ta/T1; NMIBC). Results New diagnostic tools such as urine markers may assist in more cost-eVectively detecting BC at an earlier stage, however, these markers cannot replace the cystoscopy, which is the current standard of care. A photodynamic diagnostic tool (PDD) using hexylaminolevulinate (Hexvix ® ) enhances tumor visibility and improves transurethral resection of bladder cancer (TURB) results, potentially reducing recurrence rates and lowering treatment costs. While the importance of BC research has been acknowledged, research investment has been continuously reduced during the last 5 years. Conclusions The economic burden of BC is well-characterized in the literature. This study suggests that new technologies (i.e., urine-based tests, PDD) and therapeutic regimes (intravesical chemotherapy, adjuvant immunotherapy) have signiWcant potential to improve the diagnosis, treatment and on-going monitoring of BC patients, with potential improvements in clinical outcomes and concurrent cost-savings. A renewed interest and investment in BC research are required to ensure future advancements.

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Section: Resultsmentioning

confidence: 99%

Economic aspects of bladder cancer: what are the benefits and costs?

et al. 2009

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“…Much has been written about the Augusta notification, the converging political and ethical concerns that brought it into being, and its complex interconnections with other simultaneous efforts to help the exposed workers [Crapnell, 1981;Omang, 1981;National Institute for Occupational Safety and Health (NIOSH), 1983;Schulte, 1983;Schulte and Ringen, 1984;Hornsby et al, 1985;Schulte et al, 1985a,b;Stern et al, 1985;Ruttenberg and Powers, 1986;Schulte, 1986;Tillett et al, 1986;Baker et al, 1989;Needleman, 1993;Leviton, 1998]. As a pioneering effort, the program carried out in Augusta included a number of features not typical of NIOSH's current worker notifications, such as extensive outreach activity, medical screening for the notified workers, and direct engagement of agency personnel in community controversies.…”

Section: Introductionmentioning

confidence: 99%

Long‐term impact of worker notification: Qualitative assessment of a community‐based notification and screening program in Augusta, Georgia

Needleman

Connally

2003

American J Industrial Med

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The study findings suggest four strategies, all relatively low in cost, that are likely to increase the long-term public health benefits of worker notifications that rely on individually mailed written materials: (1) in designing worker notifications, take into account the information (accurate or not) that the workers already have, and determine what kind of information they most want and need; (2) define the notification audience broadly to include not only the study cohort but also family members and/or other similarly exposed workers; (3) when notifications recommend secondary disease prevention measures over long time periods, follow up the notification health advice with periodic reminders; (4) inform a wide range of community organizations and service providers (non-medical as well as medical) about the notification, and encourage them to provide appropriate support to the notified workers and their families.

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“…The project carried out in Augusta, Georgia, from 1979 through 1984 is by all counts one of the most dramatic worker notifications on record [key references include Crapnell, 1981;Omang, 1981;NIOSH, 1983;Schulte, 1983;Schulte and Ringen, 1984;Schulte et al, 1985a, b;Stern et al, 1985;Hornsby et al, 1985;Ruttenberg and Powers, 1986;Schulte, 1986;Tillett et al, 1986;Baker et a]., 19891.…”

Section: Augusta Georgiamentioning

confidence: 99%

Worker notification: Lessons from the past

Needleman

1993

American J Industrial Med

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The methodological choices being made in current worker notification programs are influenced in both obvious and subtle ways by certain ground-breaking notifications carried out during the 1970s and 1980s. A lore has built up concerning these cases. Their names are heavy with implied meaning. As worker notification gains in acceptance and frequency, some of those newly interested in the area will be unfamiliar with these early cases, their significance, and their lessons. To help provide a context for these proceedings, six landmark worker notifications are briefly described here. Different cases might have been chosen; more cases might have been added. However, these six give a flavor of the struggles, trials, triumphs, and insights that have marked worker notification's passage through recent history.

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Economics of Notification and Medical Screening for High-Risk Workers

Cited by 10 publications

References 0 publications

Economic aspects of bladder cancer: what are the benefits and costs?

Economic aspects of bladder cancer: what are the benefits and costs?

Long‐term impact of worker notification: Qualitative assessment of a community‐based notification and screening program in Augusta, Georgia

Worker notification: Lessons from the past

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