Document Detail


Lower recurrence risk through mammographic screening reduces breast cancer treatment costs.
MedLine Citation:
PMID:  18922695     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mammographic screening is associated with a reduced risk of breast cancer recurrence. The objective of the study was to evaluate treatment costs due to breast cancer recurrence in relation to patients' use of mammographic screening, consecutively collected in a defined population. The study included 418 women exposed to screening and 109 women unexposed to screening diagnosed with stage I-III breast cancer. During the first eight years after primary diagnosis, 19% (N=80) of the exposed women and 33% (N=36) of the unexposed women developed recurrent disease, P=0.002. In the exposed group, 41% of the 8-year treatment costs were for the treatment of patients who developed recurrent disease, compared with 52% in the unexposed group, P=0.039. Among the relapsed patients, the mean post-recurrence costs were EUR14,950, accounting for 65% of their total 8-year costs. The mean post-recurrence costs were comparable for both exposure groups irrespective of the detection method.
Authors:
Lea Kauhava; Pirjo Immonen-Räihä; Ilmo Parvinen; Kaija Holli; Liisa Pylkkänen; Anne Kaljonen; Hans Helenius; Pauliina Kronqvist; Pekka J Klemi
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-10-14
Journal Detail:
Title:  Breast (Edinburgh, Scotland)     Volume:  17     ISSN:  1532-3080     ISO Abbreviation:  Breast     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-01     Completed Date:  2009-02-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9213011     Medline TA:  Breast     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  550-4     Citation Subset:  IM    
Affiliation:
Health Office, City of Turku, POB 1, 20701 Turku, Finland. lea.kauhava@turku.fi
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Distribution
Aged
Breast Neoplasms / economics*,  epidemiology,  radiography*,  therapy
Female
Finland / epidemiology
Health Care Costs / statistics & numerical data*
Humans
Longitudinal Studies
Mammography / statistics & numerical data*
Middle Aged
Neoplasm Recurrence, Local / economics*,  epidemiology,  radiography*,  therapy
Outcome and Process Assessment (Health Care)
Survival Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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