Cost-benefit Analysis of Breast Cancer Screening with Digital Mammography: A Systematic Review.

Autor: Ghorbani S; Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran., Rezapour A; Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran., Eisavi M; Department of Economics, Faculty of Economics, Allameh Tabatabai University, Tehran, Iran., Barahman M; Department of Radiotherapy, School of Medicine, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran., Bagheri Faradonbeh S; Department of Healthcare Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Jazyk: angličtina
Zdroj: Medical journal of the Islamic Republic of Iran [Med J Islam Repub Iran] 2023 Aug 16; Vol. 37, pp. 89. Date of Electronic Publication: 2023 Aug 16 (Print Publication: 2023).
DOI: 10.47176/mjiri.37.89
Abstrakt: Background: Breast cancer is a non-communicable and common disease that accounts for a high percentage of deaths. Early diagnosis of this disease reduces the death rate. Screening methods such as digital mammography can help prevent or identify the disease earlier. Therefore, this study aims to analyze the cost-benefit of breast cancer using digital mammography.
Methods: This systematic review was conducted based on PRISMA 2020 checklist. PubMed, Scopus, Web of Science, ProQuest, Cochrane Library, and Google Scholar were searched without any time limitation on June 2022. The quality of the studies was evaluated with the CHEERS checklist. After data extraction, the results were synthesized by thematic content analysis.
Results: During the search, 3468 records were identified, of which 1061 were duplicates. 2407 titles and abstracts screened in terms of inclusion criteria. Finally, after studying 20 fulltexts, three of them were included in the study. The quality of these articles was scored between 10 and 16. These studies were from Spain, Denmark, and the United States from 2000 to 2019. Two studies showed that digital mammography is not as effective as other screening methods.
Conclusion: The results of this study showed that digital mammography is not very cost-benefit for the health care system. An increase in its repetition frequency imposes more costs on the health system and doesn't have more benefits for it.
Competing Interests: The authors declare that they have no competing interests.
(© 2023 Iran University of Medical Sciences.)
Databáze: MEDLINE