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Salud Publica Mex. 2009;51 Suppl 2:s296-304.

[Cost-effectiveness of breast cancer screening policies in Mexico].

[Article in Spanish]

Author information

1
Dirección de Economía de la Salud, Instituto Nacional de Salud Pública. avalencia@correo.insp.mx

Abstract

OBJECTIVE:

Generate cost-effectiveness information to allow policy makers optimize breast cancer (BC) policy in Mexico.

MATERIAL AND METHODS:

We constructed a Markov model that incorporates four interrelated processes of the disease: the natural history; detection using mammography; treatment; and other competing-causes mortality, according to which 13 different strategies were modeled.

RESULTS:

Strategies (starting age, % of coverage, frequency in years)= (48, 25, 2), (40, 50, 2) and (40, 50, 1) constituted the optimal method for expanding the BC program, yielding 75.3, 116.4 and 171.1 thousand pesos per life-year saved, respectively.

CONCLUSIONS:

The strategies included in the optimal method for expanding the program produce a cost per life-year saved of less than two times the GNP per capita and hence are cost-effective according to WHO Commission on Macroeconomics and Health criteria.

PMID:
19967285
[Indexed for MEDLINE]
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