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[Economic aspects of specialized preventive screening for breast cancer]
O A Orlov1, A Ia Alferenko, A V Zelënyĭ
1State Medical Academy, Regional Oncological Dispensary, Perm.
Economic problems involved in specialized mammographic screenings carried out among the workers of the City of Perm and the region were studied. The investigation was funded on a contract basis and no budget money was used. During 9 years, 61,276 women aged 17-72 (up to 20 years old--2.3%; 21-31--16.9%; 31-40--34.5%; 41-50--29.4%; 51-60--14.2%, and older than 60 years--2.7%) were examined. The costs of examination of all the patients by mammologist ran up to Rbl.464,251; mammography (MG)--Rbl.13,374; ultrasound (US)--Rbl.26,880, and aspiration biopsy--Rbl.14,852. The total cost was Rbl.716,490, or Rbl.11.7 ($0.4) per screenee. Cancer was diagnosed in 62 (stage I-II--90.3%). Each detection cost Rbl.11,556 ($398), or less by 33% (Rbl.7,727; $266) if the costs of MG and US, which failed to make any significant contribution, are subtracted. Also, 1,638 precancerous benign tumors were identified (each case--Rbl.437; $15). It is suggested that the actual costs of tumor detection make a case for further application of mass screenings.
Economic problems involved in specialized mammographic screenings carried out among the workers of the City of Perm and the region were studied. The investigation was funded on a contract basis and no budget money was used. During 9 years, 61,276 women aged 17-72 (up to 20 years old--2.3%; 21-31--16.9%; 31-40--34.5%; 41-50--29.4%; 51-60--14.2%, and older than 60 years--2.7%) were examined. The costs of examination of all the patients by mammologist ran up to Rbl.464,251; mammography (MG)--Rbl.13,374; ultrasound (US)--Rbl.26,880, and aspiration biopsy--Rbl.14,852. The total cost was Rbl.716,490, or Rbl.11.7 ($0.4) per screenee. Cancer was diagnosed in 62 (stage I-II--90.3%). Each detection cost Rbl.11,556 ($398), or less by 33% (Rbl.7,727; $266) if the costs of MG and US, which failed to make any significant contribution, are subtracted. Also, 1,638 precancerous benign tumors were identified (each case--Rbl.437; $15). It is suggested that the actual costs of tumor detection make a case for further application of mass screenings.