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Archives of General Internal Medicine | Volume 2
&
April 04-05, 2018 | Miami, USA
International Conference on
Internal Medicine & Practice and Primary Care
International Meeting on
Breast Pathology & Cancer Diagnosis
Objectıve
: We used the results from the first three screening
rounds of BahcesehirMammography Screening Project (BMSP),
a 10-year (2009-2019) and the first organized population-based
screening program implemented in a county of Istanbul, Turkey,
to assess the potential cost effectiveness of a population based
mammography screening program in Turkey.
Materıals & Methods
: Two screening strategies were
compared: BMSP (includes three biennial screens for women
between 40-69) and Turkish National Breast Cancer Registry
Program (TNBCRP) which includes no organized population
based screening. Costs were estimated using direct data from
the BMSP project and the reimbursement rates of Turkish Social
Security Administration. The life years saved by BMSP were
estimated using the stage distribution observed with BMSP and
TNBCRP.
Results
: A total of 67 women (out of 7234 screened women)
were diagnosed with breast cancer in BMSP. The stage
distribution for AJCC stages O, I, II, III, IV was 19.4%, 50.8%,
20.9%, 7.5%, 1.5% and 4.9%, 26.6%, 44.9%, 20.8%, 2.8% with
BMSP and TNBCRP, respectively. The BMSP program is expected
to save 279.46 life years over TNBCRP with an additional cost of
$677.171, which implies an incremental cost-effectiveness ratio
(ICER) of $2.423 per saved life year. Since the ICER is smaller
than the Gross Demostic Product (GDP) per capita in Turkey
($10.515 in 2014), BMSP program is highly cost-effective and
remains cost-effective in the sensitivity analysis.
Conclusıon
: Mammography screening may change the stage
distribution of breast cancer in Turkey. Furthermore, an
organized population-based screening program may be cost
effective in Turkey and in other developing countries. More
research is needed to better estimate life years saved with
screening and further validate the findings of our study.
e:
vahitozmen@yahoo.com.trCost-effectiveness of breast cancer screening in Turkey, a developing country: Results from Bahçeşehir
mammography screening project
Vahit Ozmen
Istanbul University, Turkey