NDLI: Mamografia digital em comparação com mamografia convencional no rastreamento de câncer de mama no Brasil : revisão sistemática, custo da doença e analise de custo-efetividade no Sistema Único de Saúde

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Mamografia digital em comparação com mamografia convencional no rastreamento de câncer de mama no Brasil : revisão sistemática, custo da doença e analise de custo-efetividade no Sistema Único de Saúde

Content Provider	Semantic Scholar
Author	Souza, Fabiano Hahn
Copyright Year	2012
Abstract	Objective: The present paper estimates the cost-effectiveness of population-based breast cancer (BC) screening in Brazil using different strategies for women from the perspective of Brazilian public health system. Methods: A Markov model, simulating the natural history of female BC sufferers in Brazil, was developed. This model compares the lifetime effects, costs and cost-effectiveness of five BC population screening strategies in women (>= 50 years of age): (A) usual care; (B) annual screen-film mammography (SFM); (C) every 2 years SFM; (D) annual full-field digital mammography (FFDM); (E) every 2 years FFDM. Results: Adopting SFM every 2 years (Strategy C) was found to be slightly more costly but also more effective in terms of quality-adjusted life years (QALYs), yielding an incremental cost-effectiveness ratio (ICER) of R$ 829 per QALY gained. Annual SFM (Strategy B) was the next best option at an additional R$ 11,934 per QALY gained. FFDM annual screening (Strategy D) was the most effective strategy, and also the most expensive, yielding an ICER of R$ 89,201/QALY. Conclusions: SFM every 2 years for all women from 50-69 years would be a costeffectiveness strategy for the Brazilian public health system. Strategies using FFDM are not
File Format	PDF HTM / HTML
Alternate Webpage(s)	https://www.lume.ufrgs.br/bitstream/handle/10183/76211/000893276.pdf?isAllowed=y&sequence=1
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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