Economic evaluation of breast MRI in screening: a systematic review and basic approach to cost-effectiveness analyses
Background: Economic evaluations have become an accepted methodology for decision makers to allocate resources in healthcare systems. Particularly in screening, where short-term costs are associated with long-term benefits, and adverse effects of screening intermingle, cost-effectiveness analyses pr...
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| Main Authors: | , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
07 December 2023
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| In: |
Frontiers in oncology
Year: 2023, Volume: 13, Pages: 1-14 |
| ISSN: | 2234-943X |
| DOI: | 10.3389/fonc.2023.1292268 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.3389/fonc.2023.1292268 Verlag, kostenfrei, Volltext: https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2023.1292268/full 
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| Author Notes: | Fabian Tollens, Pascal A.T. Baltzer, Matthias F. Froelich and Clemens G. Kaiser |
| Summary: | Background: Economic evaluations have become an accepted methodology for decision makers to allocate resources in healthcare systems. Particularly in screening, where short-term costs are associated with long-term benefits, and adverse effects of screening intermingle, cost-effectiveness analyses provide a means to estimate the economic value of screening. Purpose: To introduce the methodology of economic evaluations and to review the existing evidence on cost-effectiveness of MR-based breast cancer screening. Materials and methods: The various concepts and techniques of economic evaluations critical to the interpretation of cost-effectiveness analyses are briefly introduced. In a systematic review of the literature, economic evaluations from the years 2000-2022 are reviewed. Results: Despite a considerable heterogeneity in the reported input variables, outcome categories and methodological approaches, cost-effectiveness analyses report favorably on the economic value of breast MRI screening for different risk groups, including both short- and long-term costs and outcomes. Conclusion: Economic evaluations indicate a strongly favorable economic value of breast MRI screening for women at high risk and for women with dense breast tissue. |
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| Item Description: | Gesehen am 22.03.2024 |
| Physical Description: | Online Resource |
| ISSN: | 2234-943X |
| DOI: | 10.3389/fonc.2023.1292268 |