Abstract Details
Activity Number:
|
457
|
Type:
|
Invited
|
Date/Time:
|
Wednesday, August 7, 2013 : 8:30 AM to 10:20 AM
|
Sponsor:
|
Biometrics Section
|
Abstract - #307079 |
Title:
|
Cost-Effectiveness Analysis of Breast Cancer Screening Strategies
|
Author(s):
|
Yu Shen*+
|
Companies:
|
UT M D Anderson Cancer Center
|
Keywords:
|
breast cancer ;
cost-effective ;
screening
|
Abstract:
|
Magnetic resonance imaging (MRI) in addition to mammography was recently recommended for women with high-risk for breast cancer. We conducted a cost-utility analysis to evaluate the optimal method of incorporating MRI into guidelines using mammography and clinical breast exam (CBE) in the high-risk population, defined here as women with greater than a 25% lifetime risk of breast cancer. A microsimulation model was used to generate women's life histories under different risk profiles, and to assess the impact of screening and treatment on survival. We compared multiple screening strategies combining mammography and CBE (or none), with the addition of MRI starting at age 30, and with screening intervals of 0.5, 1, or 2 years. The outcomes were quality-adjusted life years and total costs, both discounted at an annual rate of 3%. Incremental cost-effectiveness ratios (ICERs) were reported. The findings indicate that addition of MRI to mammography and CBE is expensive.
|
Authors who are presenting talks have a * after their name.
Back to the full JSM 2013 program
|
2013 JSM Online Program Home
For information, contact jsm@amstat.org or phone (888) 231-3473.
If you have questions about the Continuing Education program, please contact the Education Department.
The views expressed here are those of the individual authors and not necessarily those of the JSM sponsors, their officers, or their staff.
Copyright © American Statistical Association.