Two more screens per woman would improve effectiveness of UK breast cancer screening
The NHS breast screening programme provides mammography for women aged
50-64 years every three years. However, this may not be the optimum
screening policy. Boer et al (p 376) used a simulation model to
estimate the effects and costs of shortening the screening interval to
two years and raising the age of final invitation to 69. Both
alternatives require two more invitations per woman and are predicted
to lead to a substantial increase in the number of deaths prevented and
life years saved. Extending the age range would prevent more deaths but
shortening the interval would save more life years. The current
screening policy costs £2522 per life year gained; the cost of each
additional life year gained would be £2990 for extending the age range
and £3545 for shortening the screening interval.
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- Cost effectiveness of shortening screening interval or extending age range of NHS breast screening programme: computer simulation study
- Rob Boer, Harry de Koning, Anthony Threlfall, Peter Warmerdam, Andrew Street, Ellis Friedman, and Ciaran Woodman
BMJ 1998 317: 376-379.[Abstract] [Full Text] [PDF]
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