Estimation of the Cost-Effectiveness of Breast Cancer Screening Using Mammography in Mexico Through a Simulation

• Autores: Ernesto Ulloa Pérez, Alejandro Mohar Betancourt, Nancy Reynoso Noverón
• Localización: Revista de investigación clínica, ISSN 0034-8376, ISSN-e 2564-8896, Vol. 68, Nº. 4, 2016, págs. 184-191
• Idioma: inglés
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• Resumen

  • Background: Currently, breast cancer is the most prevalent tumor among Mexican women. Screening methods such as mammography could potentially reduce the health and economic burden of breast cancer; however, its risk-benefit balance is still unclear. Objective: To estimate the cost-effectiveness of different breast cancer screening programs using mammography in Mexico and to contribute to the decision-making process on this preventive measure. Methods: A simulation study was performed using population data and incidence rates. Several screening programs were assessed using the cost-effectiveness methodology recommended by the World Health Organization. Results: The feasible recommended screening program has an examination schedule periodicity of every three years, with a population coverage of 0, 15, 18, 20, 25, 20, 18, and 0% for the age groups of 25-40, 40-45, 45-50, 50-55, 55-60, 60-65, 65-70, and 70-75 years, respectively. Conclusions: Given the present coverage in Mexico, it is necessary to optimize our resource allocation to improve the country’s breast cancer prevention policy. (REV INVES CLIN. 2016;68:184-91)