Estimating the impact of increasing cervical cancer screening in the National Breast and Cervical Cancer Early Detection Program among low-income women in the USA
| Autor: | Donatus U. Ekwueme, Su-Hsin Chang, Jacqueline W. Miller, Lisa M. Pollack, Mei Chuan Hung |
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| Rok vydání: | 2019 |
| Předmět: |
Low income
Adult Cancer Research medicine.medical_specialty Adolescent Uterine Cervical Neoplasms Breast Neoplasms Cervical cancer screening Article 03 medical and health sciences Young Adult 0302 clinical medicine Surveys and Questionnaires Epidemiology medicine Humans 030212 general & internal medicine Registries Young adult Early Detection of Cancer Cervical cancer Models Statistical Obstetrics business.industry Public health Middle Aged medicine.disease United States Quality-adjusted life year Black or African American Oncology 030220 oncology & carcinogenesis Cervical cancer early detection Female Quality-Adjusted Life Years business SEER Program |
| Zdroj: | Cancer Causes Control |
| ISSN: | 1573-7225 |
| Popis: | PURPOSE: The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides free cervical cancer screening to low-income women. This study estimated the health benefits gained in terms of life years (LYs) saved and quality-adjusted life expectancy (QALE) gained if cervical cancer screening by the NBCCEDP increased to reach more eligible women. METHODS: Data from Surveillance, Epidemiology, and End Results, NBCCEDP, and Medical Expenditure Panel Surveys were used. LYs saved and QALE gained/100,000 women were estimated and used to predict additional health benefits gained if screening by the NBCCEDP increased from 6.5% up to 10–25% of the eligible women. RESULTS: Overall, per 100,000 women screened by the NBCCEDP, 1,731 LYs were saved and 1,608 QALE were gained. For white women, 1,926 LYs were saved and 1,780 QALE were gained/100,000 women screened by the NBCCEDP. For black women, 1,506 LYs were saved and 1,300 QALE were gained/100,000 women screened. If the proportion of eligible women screened by the NBCCEDP increased to 10–25%, the estimated health benefits would range from 6,626–34,896 LYs saved and 6,153–32,407 QALE gained. CONCLUSIONS: The reported estimates emphasize the value of cervical cancer screening program by extending LE in low-income women. Further, it demonstrates that screening a higher percentage of eligible women in the NBCCEDP would yield more health benefits. |
| Databáze: | OpenAIRE |
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