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This is the preliminary program for the 2008 Joint Statistical Meetings in Denver, Colorado.

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Activity Number: 188
Type: Contributed
Date/Time: Monday, August 4, 2008 : 2:00 PM to 3:50 PM
Sponsor: Section on Statistics in Epidemiology
Abstract - #302138
Title: A Steady-State Effect of a Cancer Screening Intervention
Author(s): Shih-Yuan Lee*+ and Alexander Tsodikov+
Companies: The University of Michigan and The University of Michigan
Address: 1420 Washington Heights, Ann Arbor, MI, 48109, 1420 Washington Heights, Ann Arbor, MI, 48109,
Keywords: screening ; cancer incidence ; prostate cancer
Abstract:

Introduction and increased utilization of cancer screening induces remarkable transient effects on cancer incidence and mortality. When the dust settles we are interested in estimating the achieved benefits comparing a steady state after the intervention with the one before the intervention. We propose methodology for addressing this problem. A model of population under screening is built using methods of queuing theory. The disease free stage and the preclinical disease stage represent two series-connected servers. Stationary states of the system before and after the intervention are derived and linked by a regression model with intervention process characteristics as covariates. The methods are applied to Surveillance, Epidemiology and End Results (SEER) data.


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Revised September, 2008