Management of Precancerous Cervical Lesions in Iran: A Cost Minimizing Study
| Autor: | Azin Nahvijou, Ali Akbari Sari, Kazem Zendehdel, Ahmad Barati Marnani |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Cancer Research
medicine.medical_specialty Epidemiology Total cost Cost-Benefit Analysis Population Uterine Cervical Neoplasms Disease Iran Human Papillomavirus DNA Tests Humans Medicine Disease management (health) Human Papillomavirus DNA Test education Papillomaviridae Vaginal Smears Cervical cancer Colposcopy Gynecology education.field_of_study medicine.diagnostic_test Cost–benefit analysis business.industry Obstetrics Decision Trees Papillomavirus Infections Public Health Environmental and Occupational Health Disease Management Prognosis Uterine Cervical Dysplasia medicine.disease female genital diseases and pregnancy complications Oncology DNA Viral Carcinoma Squamous Cell Female business Precancerous Conditions Follow-Up Studies Papanicolaou Test |
| Zdroj: | Asian Pacific Journal of Cancer Prevention. 15:8209-8213 |
| ISSN: | 1513-7368 |
| DOI: | 10.7314/apjcp.2014.15.19.8209 |
| Popis: | Background: Cervical cancer is a common, preventable and manageable disease in women worldwide. Objectives: This study was conducted to determine the cost of follow-up for suspicious precancerous cervical lesions within a screening program using Pap smear or HPV DNA test through the decision tree. Materials and Methods: Patient follow-up processes were determined using standard guidelines and consultation with specialists to design a decision tree model. Costs of treatment in both public and private sectors were identified according to the national tariffs in 2010 and determined based on decision tree and provided services (visits to specialists, colposcopy, and conization) with two modalities: Pap smear and HPV DNA test. The number of patients and the mean cost of treatment in each sector were calculated. The prevalence of lesions and HPV were obtained from literature to estimate the cost of treatment for each woman in the population. Results: Follow-up costs were determined using seven processes for Pap smear and 11 processes for HPV DNA test. The total cost of using Pap smear and HPV DNA process for each woman in the population was 36.1$ and 174 $ respectively. Conclusions: The follow-up process for patients with suspicious cervical lesions needs to be included in the existing screening program. HPV DNA test is currently more expensive than Pap smear, it is suggested that we manage precancerous cervical lesions with this latter test. |
| Databáze: | OpenAIRE |
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