Skip to main content
Log in

Cost-effectiveness of breast cancer screening: Preliminary results of a systematic review of the literature

  • Cost analysis of diagnosis and treatment in breast cancer — Mini-symposium
  • Published:
Breast Cancer Research and Treatment Aims and scope Submit manuscript

Summary

There is now considerable concern that universal access to health care within realistic resource constraints requires some sort of cost-effectiveness analysis of given medical procedures and interventions. One such intervention is routine mammographic screening for breast cancer. Here, we report preliminary results from an ongoing project to conduct a systematic and comprehensive review and comparison of the published cost-effectiveness analyses of screening for the early detection of breast cancer. We examine 16 such studies, and compare two studies in detail to explain how differences in assumptions and in consideration of down-stream effects have caused the published results for apparently comparable breast cancer screening programs to span a broad range.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Detsky AS, Nagle IG: A clinician's guide to cost-effectiveness analysis. Ann Intern Med 113:147–154, 1990

    Google Scholar 

  2. Russell LB: Some of the tough decisions required by a national health plan. Science 246:892–896, 1989

    Google Scholar 

  3. Weinstein MC, Stason WB: Foundations of cost-effectiveness analysis for health and medical practices. N Engl J Med 296:716–721, 1977

    Google Scholar 

  4. Johnson S: Breast screening's bottom line, lives saved. Administrative Radiology, June, 1988

  5. Moskowitz M: Costs of screening for breast cancer. Radiologic Clinics of North America 25:1031–1037, 1987

    Google Scholar 

  6. Holtzman E: Poverty and breast cancer in New York City. Office of the Comptroller, New York City, 1990

    Google Scholar 

  7. Zavertnik JJ, McCoy CB, Robinson DS, Love N: Cost-effective management of breast cancer. Cancer 69(suppl):1979–1984, 1992

    Google Scholar 

  8. Schwartz RM, Rollins PL: Measuring the cost benefit of wellness strategies. Business and Health, Oct 1985, pp 24-26

  9. Gerard K, Salkeld G, Hall J: Counting the costs of mammography screening: First year results from the Sydney study. Med J Austr 152:466–471, 1990

    Google Scholar 

  10. Australian Health Minister's Advisory Council, Breast Cancer Screening Evaluation Committee: Breast cancer screening in Australia: future directions. Australian Institute of Health: Prevention Program Evaluation Series No 1, AGPS, Canberra, 1990

    Google Scholar 

  11. Clarke PR, Fraser NM: Economic analysis of screening for breast cancer — final report. Scottish Home and Health Department, February, 1991

  12. Forrest P: Breast Cancer Screening: Report to the Health Ministers of England, Wales, Scotland, and Northern Ireland. Department of Health and Social Security, London, 1987

    Google Scholar 

  13. U.S. Congress, Office of Technology Assessment: Breast cancer screening for Medicare beneficiaries: Effectiveness, costs to Medicare and medical resources required. U.S. Government Printing Office, Washington DC, 1987

    Google Scholar 

  14. Eddy D: Screening for breast cancer. Ann Intern Med 111:389–399, 1989

    Google Scholar 

  15. Brown ML: Economic considerations in breast cancer screening of older women. J Gerontol 47 (Special Issue):51–58, 1992

    Google Scholar 

  16. Forsyth R: The mathematics of screening mammography. Medical Hypotheses 16:21–24, 1988

    Google Scholar 

  17. Okubo I, Glick H, Frumkin H, Eisenberg JM: Cost-effectiveness analysis of mass screening for breast cancer in Japan. Cancer 67:2021–2029, 1991

    Google Scholar 

  18. van der Maas PJ, de Koning HJ, van Ineveld BM, van Oortmarssen GJ, Habbema JDF, Koos TNL, Geerts AT, Collette HJA, Verbeek ALM, Hendriks JHCL, Rombach JJ: The cost-effectiveness of breast cancer screening. Int J Cancer 43:1055–1060, 1989

    Google Scholar 

  19. de Koning HJ, van Ineveld BM, van Oortmarssen GJ, et al: Breast cancer screening and cost-effectiveness; policy alternatives, quality of life considerations and the possible impact of uncertain factors. Int J Cancer 49:531–537, 1991

    Google Scholar 

  20. Tabar L, Fagerberg G, Duffy SW, Day NE: The Swedish two county trial of mammographic screening for breast cancer: Recent results and calculation of benefit. J Epidemiol Community Health 43:107–114, 1989

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This minisymposium was presented December 8, 1992, at the annual San Antonio Breast Cancer Symposium, and was sponsored by educational grants from Amgen and from Bristol-Myers Oncology Division.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Brown, M.L., Fintor, L. Cost-effectiveness of breast cancer screening: Preliminary results of a systematic review of the literature. Breast Cancer Res Tr 25, 113–118 (1993). https://doi.org/10.1007/BF00662136

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00662136

Key words

Navigation