The cost-effectiveness of cervical screening in Australia: What is the impact of screening at different intervals or over a different age range?

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Show simple item record Anderson, R Haas, M Shanahan, M 2010-05-28T09:50:38Z 2008-02
dc.identifier.citation Australian and New Zealand Journal of Public Health, 2008, 32 (1), pp. 43 - 52
dc.identifier.issn 1326-0200
dc.identifier.other C1 en_US
dc.description.abstract Objective: To estimate the cost-effectiveness of altering the currently recommended interval and age range for cervical screening of Australian women. Methods. The cost and effectiveness estimates of alternative screening strategies were generated using an established decision model. This model incorporated a Markov model (of the natural history of cervical cancer and pre-cancerous lesions) and decision trees which: 'mapped' the various pathways to cervical cancer screening; the follow-up of abnormal Pap test results; and the management of confirmed lesions. The model simulated a hypothetical large cohort of Australian women from age 15 to age 85 and calculated the accumulated costs and life-years under each screening strategy. Results: Our model estimated that moving from the current two-yearly screening strategy to annual screening (over the same age range) would cost $379,300 per additional life-year saved. Moving from the current strategy to three-yearly screening would yield $117,100 of savings per life-year lost (costs and effects both discounted at 5% per year), with a relatively modest (<5%) reduction in the total number of life-years saved by the program. Conclusions: Although moving to annual screening would save some additional lives, it is not a cost-effective strategy. Consideration should be given to increasing the recommended interval for cervical screening. However, the net value of any such shift to less effective (e.g. less frequent) and less costly screening strategies will require better evidence about the cost-effectiveness of strategies that encourage non-screeners or irregular screeners to have a Pap test more regularly. © 2008 The Authors. Journal Compilation © 2008 Public Health Association of Australia.
dc.language eng
dc.relation.hasversion Accepted manuscript version en_US
dc.relation.isbasedon 10.1111/j.1753-6405.2008.00165.x
dc.rights The definitive version is available at
dc.title The cost-effectiveness of cervical screening in Australia: What is the impact of screening at different intervals or over a different age range?
dc.type Journal Article
dc.parent Australian and New Zealand Journal of Public Health
dc.journal.volume 1
dc.journal.volume 32
dc.journal.number 1 en_US
dc.publocation Australia en_US
dc.identifier.startpage 43 en_US
dc.identifier.endpage 52 en_US BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 111702 Aged Health Care
dc.personcode 020119
dc.percentage 100 en_US Aged Health Care en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity ISI:000253504700010 en_US
dc.description.keywords cervical screening, economic evaluation, cost effectiveness en_US
dc.description.keywords Cost-benefit analysis
dc.description.keywords Mass screening
dc.description.keywords Program evaluation
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Business
pubs.organisational-group /University of Technology Sydney/Strength - Health Economics and Research Evaluation
utslib.copyright.status Closed Access 2015-04-15 12:17:09.805752+10
utslib.collection.history Closed (ID: 3)

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