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. 2015 Nov;4(6):553-67.
doi: 10.2217/cer.15.42. Epub 2015 Nov 4.

Screening for breast cancer with Breast-CT in a ProHTA simulation

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Free article

Screening for breast cancer with Breast-CT in a ProHTA simulation

Georg Ruile et al. J Comp Eff Res. 2015 Nov.
Free article

Abstract

Aims: The potential of dedicated Breast-CT is evaluated by simulating its impact onto the performance of the German breast cancer screening program. Attendance rates, cancer detection and economic implications are quantified.

Methods: Based on a prospective health technology assessment approach, we simulated screening in different scenarios.

Results: In the simulation, attendance rates increase from 54 to up to 72% due to reduced pain. Breast cancers will be detected earlier while nodal positives and distant recurrences decrease. Assuming no additional cost, cost savings of up to €55 million in one screening period are computed.

Conclusion: The simulation indicates that earlier cancer detection, fewer unnecessary biopsies and less pain are potential benefits of Breast-CT resulting in cost savings and higher attendance.

Keywords: breast cancer; computed tomography; health economics; health technology assessment; mammography screening; simulation.

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