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Budget impact analy...
Budget impact analysis of introducing digital breast tomosynthesis in breast cancer screening in Italy
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- Djuric, Olivera (författare)
- University of Modena and Reggio Emilia
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- Deandrea, Silvia (författare)
- Pavia Health Protection Agency
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- Mantellini, Paola (författare)
- Institute for Cancer Research, Prevention and Clinical Network (ISPRO)
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- Sardanelli, Francesco (författare)
- Policlinico San Donato University Hospital
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- Venturelli, Francesco (författare)
- Azienda USL – IRCCS di Reggio Emilia
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- Montemezzi, Stefania (författare)
- University Hospital Verona
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- Vecchio, Riccardo (författare)
- Pavia Health Protection Agency
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Bucchi, Lauro (författare)
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- Senore, Carlo (författare)
- Centre for Cancer Epidemiology and Prevention (CPO Piemonte)
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- Giordano, Livia (författare)
- Centre for Cancer Epidemiology and Prevention (CPO Piemonte)
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Paci, Eugenio (författare)
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Bonifacino, Adriana (författare)
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- Calabrese, Massimo (författare)
- Ospedale Policlinico San Martino
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- Caumo, Francesca (författare)
- Veneto Institute of Oncology
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- Degrassi, Flori (författare)
- Associazione Nazionale Donne Operate al Seno - ANDOS
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Sassoli de’ Bianchi, Priscilla (författare)
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- Battisti, Francesca (författare)
- Institute for Cancer Research, Prevention and Clinical Network (ISPRO)
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- Zappa, Marco (författare)
- Institute for Cancer Research, Prevention and Clinical Network (ISPRO)
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- Pattacini, Pierpaolo (författare)
- Azienda USL – IRCCS di Reggio Emilia
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- Campari, Cinzia (författare)
- Azienda USL – IRCCS di Reggio Emilia
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- Nitrosi, Andrea (författare)
- Azienda USL – IRCCS di Reggio Emilia
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- Di Leo, Giovanni (författare)
- Policlinico San Donato University Hospital
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- Frigerio, Alfonso (författare)
- Centre for Cancer Epidemiology and Prevention (CPO Piemonte)
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- Magni, Veronica (författare)
- Policlinico San Donato University Hospital
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- Fornasa, Francesca (författare)
- Ospedale Fracastoro
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- Romanucci, Giovanna (författare)
- Ospedale Fracastoro
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- Falini, Patrizia (författare)
- Institute for Cancer Research, Prevention and Clinical Network (ISPRO)
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- Auzzi, Noemi (författare)
- Institute for Cancer Research, Prevention and Clinical Network (ISPRO)
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- Armaroli, Paola (författare)
- Centre for Cancer Epidemiology and Prevention (CPO Piemonte)
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- Giorgi Rossi, Paolo (författare)
- Azienda USL – IRCCS di Reggio Emilia
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- Lang, Kristina (creator_code:cre_t)
- Lund University,Lunds universitet,Diagnostisk radiologi, Malmö,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Radiology Diagnostics, Malmö,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments
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(creator_code:org_t)
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- 2024
- 2024
- Engelska.
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Ingår i: Radiologia Medica. - 0033-8362. ; 129:9, s. 1288-1302
- Relaterad länk:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Purpose: This study quantifies the impact on budget and cost per health benefit of implementing digital breast tomosynthesis (DBT) in place of digital mammography (DM) for breast cancer screening among asymptomatic women in Italy. Methods: A budget impact analysis and a cost consequence analysis were conducted using parameters from the MAITA project and literature. The study considered four scenarios for DBT implementation, i.e., DBT for all women, DBT for women aged 45–49 years, DBT based on breast density (BI-RADS C + D or D only), and compared these to the current DM screening. Healthcare provider's perspective was adopted, including screening, diagnosis, and cancer treatment costs. Results: Introducing DBT for all women would increase overall screening costs by 20%. Targeting DBT to women aged 45–49 years or with dense breasts would result in smaller cost increases (3.2% for age-based and 1.4–10.7% for density-based scenarios). The cost per avoided interval cancer was significantly higher when DBT was applied to all women compared to targeted approaches. The cost per gained early-detected cancer slightly increases in targeted approaches, while the assumptions on the clinical significance and overdiagnosis of cancers detected by DBT and not by DM have a strong impact. Conclusions: Implementing DBT as a primary breast cancer test in screening programs in Italy would lead to a substantial increase in costs. Tailoring DBT use to women aged 45–49 or with dense breasts could enhance the feasibility and sustainability of the intervention. Further research is needed to clarify the impact of DBT on overdiagnosis and the long-term outcomes.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Breast neoplasms
- Budget impact analysis
- Cost
- Digital breast tomosynthesis
- Digital mammography
- Mass screening
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Till lärosätets databas
- Av författaren/redakt...
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Djuric, Olivera
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Deandrea, Silvia
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Mantellini, Paol ...
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Sardanelli, Fran ...
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Venturelli, Fran ...
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Montemezzi, Stef ...
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visa fler...
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Vecchio, Riccard ...
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Bucchi, Lauro
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Senore, Carlo
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Giordano, Livia
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Paci, Eugenio
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Bonifacino, Adri ...
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Calabrese, Massi ...
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Caumo, Francesca
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Degrassi, Flori
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Sassoli de’ Bian ...
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Battisti, France ...
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Zappa, Marco
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Pattacini, Pierp ...
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Campari, Cinzia
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Nitrosi, Andrea
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Di Leo, Giovanni
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Frigerio, Alfons ...
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Magni, Veronica
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Fornasa, Frances ...
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Romanucci, Giova ...
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Falini, Patrizia
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Auzzi, Noemi
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Armaroli, Paola
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Giorgi Rossi, Pa ...
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Lang, Kristina
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