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Iranian Journal of Public Health، جلد ۴۲، شماره ۴، صفحات ۳۴۷-۳۵۷
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عنوان انگلیسی Cost effectiveness of breast cancer screening using mammography; a systematic review.
چکیده انگلیسی مقاله Breast cancer is the leading cause of malignancy among women. Screening using mammography is proposed as an effective intervention for reducing early deaths due to breast cancer. We conducted a systematic review to assess the cost-effectiveness of such screening programs. We searched Medline, Scopus and Google Scholar and complemented it by other searches using sensitive search terms from 1993-2010. We screened the titles and abstracts, assessed the full texts of the remaining studies, and extracted data to a pre-designed data extraction sheet. Studies were categorized according to the age groups of the target population. We used narrative synthesis approaches for analyzing the data. Twenty-eight articles met the minimum inclusion criteria, mostly from high income settings. All studies used secondary data, and a variety of modeling techniques, age groups, screening intervals and outcome measures. Cost per life year gained, ranging from $1,634 (once at the age of 50 in India) to $65,000 (extending the lower age limit of screening to 40 Australian study), was the most commonly used outcome measure. Biennial screening test for those aged 50-70 years seems to be the most cost-effective option ($2685). Biennial screening for aged 50-70 years is the most cost-effective option among alternative scenarios. Screening those aged less than 50 is not recommended. Further studies in low-income and middle-income countries, and cost effectiveness studies along with randomized trials are required. To improve the comparability of the findings, future studies should include biennial screening in 50-70 age groups as an alternative strategy.
کلیدواژه‌های انگلیسی مقاله Breast cancer,Cost effectiveness,Screening,Systematic review
نویسندگان مقاله آرش رشیدیان | arash rashidian
dept. of health management and economics, school of public health, tehran university of medical sciences, tehran, iran ; knowledge utilization research center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

اسحاق برفر | eshagh barfar


سید حامد حسینی | hamed hosseini


شیرین نصرت نژاد | shirin nosratnejad


عصمت باروتی | esmat barooti


نشانی اینترنتی http://ijph.tums.ac.ir/index.php/ijph/article/view/4588
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