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Related Experiment Video

Updated: Jun 21, 2026

Radiation Planning Assistant - A Web-based Tool to Support High-quality Radiotherapy in Clinics with Limited Resources
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Developing and testing a cost-assessment tool for cancer screening programs.

Sujha Subramanian1, Donatus U Ekwueme, James G Gardner

  • 1RTI International, Waltham, Massachusetts 02451-1623, USA. ssubramanian@rti.org

American Journal of Preventive Medicine
|August 12, 2009
PubMed
Summary
This summary is machine-generated.

A new cost-assessment tool (CAT) enables cancer screening programs to report detailed activity-based costs. This standardization aids in understanding program efficiency and cost-effectiveness.

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Area of Science:

  • Health economics
  • Public health program evaluation
  • Cancer screening research

Background:

  • Cancer screening programs demand significant resources, necessitating economic assessments for cost-effectiveness.
  • Accurate program cost data is crucial for economic evaluations, yet standardized data collection instruments are lacking.

Purpose of the Study:

  • To develop a standardized instrument for collecting cost data from cancer screening programs.
  • To facilitate economic assessments of cancer screening initiatives.

Main Methods:

  • A cost-assessment tool (CAT) was developed using case study findings from the National Breast and Cervical Cancer Early Detection Program (NBCCEDP).
  • The CAT was pilot-tested at nine NBCCEDP sites, collecting annual cost and resource-use data.
  • Activity-based costing was employed, assigning all costs to specific program activities.

Main Results:

  • Eight of nine pilot sites achieved an acceptable cost allocation threshold (<5% unallocated).
  • Key cost components included screening and diagnostic services (44.4%), recruitment (11.4%), database management (10.9%), and patient support/case management (9.3%).

Conclusions:

  • Pilot testing confirmed the CAT's ability to capture detailed, activity-based cost data from NBCCEDP cancer screening programs.
  • Standardized cost data facilitates pooled analyses, enhancing understanding of screening program impact and cost-effectiveness.