Abstract/Details

Cost-comparison of prostate cancer screening versus not screening


2006 2006

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Abstract (summary)

Prostate cancer is a common form of cancer in men. In fact, prostate cancer has the highest incidence of any cancer in men. Prostate cancer is not only common, it carries a significant financial burden. The cost of prostate cancer is 11.3% of all cancer expenditures. If after a DRE the prostate is enlarged, or if the PSA is elevated, then a biopsy of the prostate would be recommended. Under the best of circumstances, cancer diagnoses will be missed and many will undergo unnecessary biopsy, etc.

The focus of this paper was the cost-utility of screening with the PSA test. The cost differences between screening and not screening was compared. A Markov analysis and a Monte Carlo simulation were utilized to provide a basis for conclusion.

The primary finding is that the costs associated with screening are much higher than those of not screening. Additional findings are that the specificity of the PSA test, the first year treatment costs, and the utility/outcomes of screening have an impact on the cost-utility of screening. The conclusion, however, is that the improvements in these factors would have to be significant to impact the case for screening. Until longitudinal studies are completed, it is not cost-effective to screen for prostate cancer.

Indexing (details)


Subject
Public health;
Health care;
Radiology;
Prostate cancer;
Medical screening
Classification
0573: Public health
0769: Health care
0574: Radiology
Identifier / keyword
Health and environmental sciences
Title
Cost-comparison of prostate cancer screening versus not screening
Author
Fell, Bill
Number of pages
61
Publication year
2006
Degree date
2006
School code
0110
Source
MAI 45/01M, Masters Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9780542836275
Advisor
McCabe, Steven
University/institution
University of Louisville
University location
United States -- Kentucky
Degree
M.S.P.H.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
1437389
ProQuest document ID
305318349
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/305318349
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