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Anticipating the Consequences for the Primary Therapy of Breast Cancer after Introducing Screening: A More Global Picture for Health Care Policy Making

Published online by Cambridge University Press:  10 March 2009

Josep M. Borràs ,
Josep A. Espinas ,
Petra M. M. Beemsterboer ,
Alicia Granados  and
Harry J. De Koning
Josep M. Borràs
Affiliation:
Catalan Institute of Oncology and Catalan Agency for Health Technology Assessment
Josep A. Espinas
Affiliation:
Catalan Institute of Oncology
Petra M. M. Beemsterboer
Affiliation:
Erasmus University
Alicia Granados
Affiliation:
Catalan Agency for Health Technology Assessment
Harry J. De Koning
Affiliation:
Erasmus University
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Abstract

A breast cancer screening program mainly aims at reducing mortality. However, it also has an effect, often not assessed, on the utilization of health care resources that is relevant to health care policy making. Using a simulation model, this paper forecasts the impact of introducing a breast cancer screening program on the utilization of resources for the primary therapy of breast cancer. The most important consequences from a health care point of view will be an increased use of breast-conserving therapy and an increased need for postoperative radiotherapy; there will also be a higher number of women diagnosed with noninvasive breast cancer. The results of this study could provide support for health care decision making by showing the consequences of policy decisions on the introduction of screening programs for health care utilization.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 14 , Issue 2 , Spring 1998 , pp. 268 - 276
Copyright
Copyright © Cambridge University Press 1998

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