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Related Experiment Videos

[Case finding in bronchial carcinoma: cost-effectiveness].

A F Junod1

  • 1Division de pneumologie, Hôpital cantonal universitaire, Genève.

Schweizerische Medizinische Wochenschrift
|September 26, 1987
PubMed
Summary

Early detection of bronchial carcinoma through radiologic and cytologic screening is costly. Over 2500 cytologic examinations are needed for one survival case, with limited benefit per person annually.

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Revue des maladies respiratoires·2003

Area of Science:

  • Oncology
  • Radiology
  • Public Health

Context:

  • Bronchial carcinoma screening utilizes radiologic (chest roentgenograms) and cytologic (sputum examination) methods.
  • National Cancer Institute-sponsored study evaluating screening efficacy and cost-effectiveness.

Purpose:

  • To calculate the cost-effectiveness of early bronchial carcinoma detection.
  • To determine the number of screening examinations required for one survival case.

Summary:

  • The prevalence study indicated that one case of screening-related survival required 417 chest roentgenograms and 417 sputum cytological examinations, plus 33 investigations for clarification.
  • Cytological examination alone necessitates approximately 2500 examinations for a single case of screening-related survival.
  • Yearly screening yields less than one survival case per 1000 subjects annually.

Impact:

  • Highlights the significant resource allocation required for early detection of bronchial carcinoma.
  • Suggests a need for optimizing screening protocols to improve cost-effectiveness and patient benefit.
  • Informs public health policy regarding lung cancer screening programs.

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