Aggregate Cost of Mammography Screening in the United States
Authors: Mark A. Helvie
Journal: Annals of Internal Medicine (2014)

Letters19 August 2014Aggregate Cost of Mammography Screening in the United StatesMark A. Helvie, MDMark A. Helvie, MDFrom University of Michigan Comprehensive Cancer Center, University of Michigan Health System, Ann Arbor, Michigan.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L14-5016-2 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:O'Donoghue and colleagues (1) compare the monetary costs to insurers of several mammography screening strategies. They conclude that the added cost of more aggressive screening is not justified because they imply that clinical outcomes with these strategies are similar. However, the outcome differences are substantial, which meaningfully affects the cost analysis.The results of the Cancer Intervention and Surveillance Modeling Network (CISNET) models, which the authors reference, show large outcome differences for life-years gained and mortality reduction with the annual mammography screening strategy (women aged 40 to 84 years) compared with the biennial strategy (women aged 50 ...References1. O'Donoghue C, Eklund M, Ozanne EM, Esserman LJ. Aggregate cost of mammography screening in the United States: comparison of current practice and advocated guidelines. Ann Intern Med. 2014;160:145-53. [PMID: 24658691] doi:10.7326/M13-1217 LinkGoogle Scholar2. Mandelblatt JS, Cronin KA, Bailey S, Berry DA, de Koning HJ, Draisma G, et al; Breast Cancer Working Group of the Cancer Intervention and Surveillance Modeling Network.. Effects of mammography screening under different screening schedules: model estimates of potential benefits and harms. Ann Intern Med. 2009;151:738-47. [PMID: 19920274] doi:10.7326/0003-4819-151-10-200911170-00010 LinkGoogle Scholar3. van Ravesteyn NT, Miglioretti DL, Stout NK, Lee SJ, Schechter CB, Buist DS, et al. Tipping the balance of benefits and harms to favor screening mammography starting at age 40 years: a comparative modeling study of risk. Ann Intern Med. 2012;156:609-17. [PMID: 22547470] doi:10.7326/0003-4819-156-9-201205010-00002 LinkGoogle Scholar4. Montero AJ, Eapen S, Gorin B, Adler P. The economic burden of metastatic breast cancer: a U.S. managed care perspective. Breast Cancer Res Treat. 2012;134:815-22. [PMID: 22684273] doi:10.1007/s10549-012-2097-2 CrossrefMedlineGoogle Scholar5. Bradley CJ, Yabroff KR, Dahman B, Feuer EJ, Mariotto A, Brown ML. Productivity costs of cancer mortality in the United States: 2000-2020. J Natl Cancer Inst. 2008;100:1763-70. [PMID: 19066273] doi:10.1093/jnci/djn384 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Michigan Comprehensive Cancer Center, University of Michigan Health System, Ann Arbor, Michigan.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L14-0175. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAggregate Cost of Mammography Screening in the United States: Comparison of Current Practice and Advocated Guidelines Cristina O'Donoghue , Martin Eklund , Elissa M. Ozanne , and Laura J. Esserman Aggregate Cost of Mammography Screening in the United States John D. Keen Aggregate Cost of Mammography Screening in the United States Martin Eklund , Cristina O'Donoghue , and Laura J. Esserman Aggregate Cost of Mammography Screening in the United States Martin Eklund , Cristina O'Donoghue , and Laura J. Esserman Aggregate Cost of Mammography Screening in the United States John D. Keen Metrics Cited ByLifting the fog of confusion about breast cancer screening guidelines: Surprise - it's about the money!The Breast Cancer Screening “Arcade” and the “Whack-A-Mole” Efforts to Reduce Access to Screening 19 August 2014Volume 161, Issue 4Page: 304-305KeywordsBreast cancerCancer screeningCancer treatmentDisclosureMammography ePublished: 19 August 2014 Issue Published: 19 August 2014 CopyrightCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...