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Cost-effectiveness of a systematic training programme in breast self-examination
1CAST-Centre for Applied Health Services Research and Technology Assessment, University of Southern Denmark, Winsløwparken 19, 3, DK-5000 Odense C, Denmark. jas@cast.sdu.dk
Summary
Implementing breast self-examination (BSE) training programs can improve early breast cancer detection. The cost-effectiveness analysis suggests it is economical to train individuals in BSE for better outcomes.
Area of Science:
- Public Health
- Health Economics
- Oncology
Background:
- Breast self-examination (BSE) is a recognized method for early breast cancer detection.
- Specialized training programs may enhance breast cancer awareness and BSE practice.
- A Danish health authority is evaluating the implementation of a BSE training program.
Purpose of the Study:
- To assess the cost-effectiveness of a proposed breast self-examination (BSE) training program.
- To quantify the economic benefits of improved BSE knowledge and practice.
- To inform public health policy regarding breast cancer early detection strategies.
Main Methods:
- A cost-effectiveness model was developed, linking training costs to anticipated health effects.
- The model incorporated data from literature, surveys, and expert opinions.
- Baseline and sensitivity analyses were performed to evaluate cost-effectiveness ratios.
Main Results:
- The cost per person with improved BSE knowledge was estimated at 106 euro.
- The cost per person initiating BSE was 180 euro, and per correct practitioner was 142 euro.
- Avoiding advanced cancer (lymph node spread or >20mm tumor) was estimated at approximately 15,410-16,318 euro per case.
Conclusions:
- BSE training programs demonstrate a favorable cost-effectiveness for early breast cancer detection.
- The economic benefits justify the investment in widespread BSE training initiatives.
- Sensitivity analysis highlights the impact of varying assumptions on cost-effectiveness outcomes.