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The costs and effects of cervical and breast cancer screening in a public hospital emergency room.

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Title: The costs and effects of cervical and breast cancer screening in a public hospital emergency room.
Authors: Mandelblatt J (AUTHOR), Freeman H (AUTHOR), Winczewski D (AUTHOR), Cagney K (AUTHOR), Williams S (AUTHOR), Trowers R (AUTHOR), Tang J (AUTHOR), Gold K (AUTHOR), Lin TH (AUTHOR), Kerner J (AUTHOR)
Source: American Journal of Public Health. Jul97, Vol. 87 Issue 7, p1182-1189. 8p.
Subjects: Breast cancer, Cervical cancer, Medical screening, Public hospitals, Hospital emergency services, Health promotion
Abstract: OBJECTIVES: This study assessed the cost-effectiveness of cervix and breast cancer screening in a public hospital emergency room. METHODS: Age-eligible women with nonurgent conditions and without recent screening were offered screening by a nurse. A decision analysis compared the costs and outcomes of emergency room screening and standard hospital screening efforts. RESULTS: The undiscounted cost-effectiveness results for establishing new programs were $4050 (cervical cancer), $403,203 (breast cancer), and $4375 (joint cervix and breast cancer) per year of life saved. If screening is added to an existing program, results are more favorable ($429, $21,324, and $479 per year of life saved for cervix, breast, and joint screening, respectively). Results were most sensitive to volume and probability of receiving treatment after an abnormal screen. CONCLUSIONS: Emergency room screening was cost-effective for cervical cancer; breast cancer screening was relatively expensive given the low number of women reached. More intensive recruitment and follow-up strategies are needed to maximize the cost-effectiveness of such programs. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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PubTypeId: academicJournal
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  Data: The costs and effects of cervical and breast cancer screening in a public hospital emergency room.
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  Data: <searchLink fieldCode="AR" term="%22Mandelblatt+J%22">Mandelblatt J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Freeman+H%22">Freeman H</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Winczewski+D%22">Winczewski D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cagney+K%22">Cagney K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Williams+S%22">Williams S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Trowers+R%22">Trowers R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tang+J%22">Tang J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gold+K%22">Gold K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lin+TH%22">Lin TH</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kerner+J%22">Kerner J</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Jul97, Vol. 87 Issue 7, p1182-1189. 8p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Breast+cancer%22">Breast cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Cervical+cancer%22">Cervical cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Public+hospitals%22">Public hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: OBJECTIVES: This study assessed the cost-effectiveness of cervix and breast cancer screening in a public hospital emergency room. METHODS: Age-eligible women with nonurgent conditions and without recent screening were offered screening by a nurse. A decision analysis compared the costs and outcomes of emergency room screening and standard hospital screening efforts. RESULTS: The undiscounted cost-effectiveness results for establishing new programs were $4050 (cervical cancer), $403,203 (breast cancer), and $4375 (joint cervix and breast cancer) per year of life saved. If screening is added to an existing program, results are more favorable ($429, $21,324, and $479 per year of life saved for cervix, breast, and joint screening, respectively). Results were most sensitive to volume and probability of receiving treatment after an abnormal screen. CONCLUSIONS: Emergency room screening was cost-effective for cervical cancer; breast cancer screening was relatively expensive given the low number of women reached. More intensive recruitment and follow-up strategies are needed to maximize the cost-effectiveness of such programs. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.2105/AJPH.87.7.1182
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        Text: English
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        PageCount: 8
        StartPage: 1182
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      – SubjectFull: Breast cancer
        Type: general
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      – SubjectFull: Medical screening
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      – SubjectFull: Public hospitals
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      – SubjectFull: Hospital emergency services
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      – SubjectFull: Health promotion
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              Text: Jul97
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              Y: 1997
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