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Screening mammography program delay recommended by Manitoba working group: issues for radiology.
1Department of Radiology, University of Manitoba, Winnipeg, Canada.
European Journal of Radiology
|October 1, 1992
Summary
Implementing a mammography screening program requires more evidence. Delaying widespread use for asymptomatic women under 50 is advised, alongside developing educational initiatives.
Area of Science:
- Public Health
- Health Economics
- Medical Technology Assessment
Background:
- A government-appointed working group evaluated the feasibility of a mammography screening program.
- Current mammography activity in Manitoba involves both clinical and unorganized screening, costing $2.8 million annually.
Purpose of the Study:
- To conduct a cost analysis for a potential mammography screening program.
- To provide recommendations on the implementation of mammography screening.
Main Methods:
- Analysis of Canadian policy reports, international program descriptions, and critical reviews.
- Construction of a steady-state clinical and financial model.
- Estimation of costs for a controlled screening program for women aged 50-69.
Main Results:
- A controlled screening program for 80% of women aged 50-69 is projected to cost $2.6 million annually, plus $0.65 million in new clinical costs over 4 years.
- Current annual screening costs in Manitoba amount to $2.8 million.
Conclusions:
- Delay program implementation pending further evidence on benefits.
- Discourage mammography screening for asymptomatic women under 50.
- Develop comprehensive information programs for the public and healthcare professionals, establish an advisory group, and engage in research to inform future decisions.