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Is Mammography for Breast Cancer Screening Cost-Effective in Both Western and Asian Countries?: Results of a Systematic Review

Authors
 Ki-Bong Yoo  ;  Jeoung A Kwon  ;  Eun Cho  ;  Moon Hae Kang  ;  Jung-Mo Nam  ;  Kui Son Choi  ;  Eun Kyung Kim  ;  Yun Jeong Choi  ;  Eun-Cheol Park 
Citation
 ASIAN PACIFIC JOURNAL OF CANCER PREVENTION, Vol.14(7) : 4141-4149, 2013 
Journal Title
 ASIAN PACIFIC JOURNAL OF CANCER PREVENTION 
ISSN
 1513-7368 
Issue Date
2013
MeSH
Asia ; Breast Neoplasms/diagnosis ; Breast Neoplasms/economics* ; Breast Neoplasms/prevention & control ; Cost-Benefit Analysis ; Early Detection of Cancer/economics* ; Europe ; Female ; Humans ; Mammography/economics* ; Prognosis ; United Kingdom ; United States
Keywords
breast cancer ; Cost-Effectiveness ; mammography ; mass screening ; Systematic Review ; Asia
Abstract
Background: Mammography is considered the gold standard of breast cancer mass screening and many countries have implemented this as an established breast cancer screening strategy. However, although the incidence of breast cancer and racial characteristics are different between Western and Asian countries, many Asian countries adopted mammography for mass screening. Therefore, the objective of this research was to determine whether mammography mass screening is cost-effective for both Western and Asian countries. Materials and Methods: A systematic review was performed of 17 national mammography cost-effectiveness data sets. Per capita gross domestic product (GDP), breast cancer incidence rate, and the most optimal costeffectiveness results [cost per life year saved (LYS)] of a mammography screening strategy for each data set were extracted. The CE/per capita GDP ratio is used to compare the cost-effectiveness of mammography by countries. Non-parametric regression was used to find a cut-off point which indicated the breast cancer incidence rate boundary line determining whether mammography screening is cost-effective or not. Results: We found that the cost-effective cut-off point of breast cancer incidence rate was 45.04; it exactly divided countries into Western and Asian countries (p<0.0014). Conclusions: Mammography screening is cost-effective in most of Western countries, but not in Asian countries. The reason for this result may be the issues of incidence rate or racial characteristics, such as dense breast tissue. The results indicate that mammography screening should be adopted prudently in Asian countries and other countries with low incidence rates.
Files in This Item:
T201302831.pdf Download
DOI
10.7314/APJCP.2013.14.7.4141
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Nam, Chung Mo(남정모) ORCID logo https://orcid.org/0000-0003-0985-0928
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87642
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