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Article: The price of cancer screening

TitleThe price of cancer screening
Authors
KeywordsMedical sciences
Issue Date2004
PublisherHong Kong College of Family Physicians. The Journal's web site is located at http://www.hkcfp.org.hk/
Citation
Hong Kong Practitioner, 2004, v. 26 n. 3, p. 142-145 How to Cite?
AbstractEffectiveness of a screening test is an essential but not adequate criterion for its application to patient care. The potential benefit has to be balanced against the possible harm and cost of screening. This paper presents a framework on how the price can be balanced against the benefit of cancer screening. The principles are illustrated by modelling cervical cancer and breast cancer screening programmes in the setting of Hong Kong. The estimated price for every cervical cancer death prevented by regular smear screening is 1158 women suffering from psychological harm and HK$2,277,900. The estimated price for every breast cancer death prevented by regular mammography screening is 372 women suffering from psychological harm and HK$6,249,600. Breast cancer screening is about three times more costly than cervical cancer screening but it is associated with fewer women suffering from unnecessary psychological stress. The family doctor has a duty to counsel patients on not only the potential benefit but also the cost and possible harm of a cancer screening programme, so that patients can make truly informed choices.
Persistent Identifierhttp://hdl.handle.net/10722/45140
ISSN
2015 SCImago Journal Rankings: 0.101
References

 

DC FieldValueLanguage
dc.contributor.authorLam, CLKen_HK
dc.date.accessioned2007-10-30T06:18:13Z-
dc.date.available2007-10-30T06:18:13Z-
dc.date.issued2004en_HK
dc.identifier.citationHong Kong Practitioner, 2004, v. 26 n. 3, p. 142-145en_HK
dc.identifier.issn1027-3948en_HK
dc.identifier.urihttp://hdl.handle.net/10722/45140-
dc.description.abstractEffectiveness of a screening test is an essential but not adequate criterion for its application to patient care. The potential benefit has to be balanced against the possible harm and cost of screening. This paper presents a framework on how the price can be balanced against the benefit of cancer screening. The principles are illustrated by modelling cervical cancer and breast cancer screening programmes in the setting of Hong Kong. The estimated price for every cervical cancer death prevented by regular smear screening is 1158 women suffering from psychological harm and HK$2,277,900. The estimated price for every breast cancer death prevented by regular mammography screening is 372 women suffering from psychological harm and HK$6,249,600. Breast cancer screening is about three times more costly than cervical cancer screening but it is associated with fewer women suffering from unnecessary psychological stress. The family doctor has a duty to counsel patients on not only the potential benefit but also the cost and possible harm of a cancer screening programme, so that patients can make truly informed choices.en_HK
dc.format.extent303192 bytes-
dc.format.extent6261 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypetext/plain-
dc.languageengen_HK
dc.publisherHong Kong College of Family Physicians. The Journal's web site is located at http://www.hkcfp.org.hk/en_HK
dc.relation.ispartofHong Kong Practitioneren_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectMedical sciencesen_HK
dc.titleThe price of cancer screeningen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1027-3948&volume=26&issue=3&spage=142&epage=145&date=2004&atitle=The+price+of+cancer+screeningen_HK
dc.identifier.emailLam, CLK:clklam@hku.hken_HK
dc.identifier.authorityLam, CLK=rp00350en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.scopuseid_2-s2.0-2542599177en_HK
dc.identifier.hkuros86234-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-2542599177&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume26en_HK
dc.identifier.issue3en_HK
dc.identifier.spage142en_HK
dc.identifier.epage145en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridLam, CLK=24755913900en_HK

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