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10.1136/bmjhci-2021-100351 http://scihub22266oqcxt.onion/10.1136/bmjhci-2021-100351 34281995!8290945!34281995     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=34281995&cmd=llinks): Failed to open stream: HTTP request failed! 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Telemammography for breast cancer screening: a cost-effective approach in Argentina |pdf=|usr=}}{{34281995}} gab.com Text Telemammography for breast cancer screening: a cost-effective approach in Argentina JO: BMJ Health Care Inform http://www.kidney.de/pget.php?&tw=1&pmid=34281995 #FOAvip OBJECTIVES: Argentina is a low and middle-income country (LMIC) with a highly fragmented healthcare system that conflicts with access to healthcare stated by the country's Universal Health Coverage plan. A tele-mammography network could improve access to breast cancer screening decreasing its mortality. This research aims to conduct an economic evaluation of the implementation of a tele-mammography program to improve access to healthcare. METHODS: A cost-utility analysis was performed to explore the incremental benefit of annual tele-mammography screening for at-risk Argentinian women over 40 years old. A Markov model was developed to simulate annual mammography or tele-mammography screening in two hypothetical population-based cohorts of asymptomatic women. Parameter uncertainty was evaluated through deterministic and probabilistic sensitivity analysis. Model structure uncertainty was also explored to test the robustness of the results. RESULTS: It was estimated that 31 out of 100 new cases of breast cancer would be detected by mammography and 39/100 by tele-mammography. The model returned an incremental cost-effectiveness ratio (ICER) of pound26 051/quality-adjusted life-year (QALY) which is lower than the WHO-recommended threshold of pound26 288/QALY for Argentina. Deterministic sensitivity analysis showed the ICER is most sensitive to the uptake and sensitivity of the screening tests. Probabilistic sensitivity analysis showed tele-mammography is cost-effective in 59% of simulations. DISCUSSION: Tele-mammography should be considered for adoption as it could improve access to expertise in underserved areas where adherence to screening protocols is poor. Disaggregated data by province is needed for a better- informed policy decision. Telemedicine could also be beneficial in ensuring the continuity of care when health systems are under stress like in the current COVID-19 pandemic. CONCLUSION: There is a 59% chance that tele-mammography is cost-effective compared to mammography for at-risk Argentinian women over 40- years old, and should be adopted to improve access to healthcare in underserved areas of the country. Twit Text FOAVip Telemammography for breast cancer screening: a cost-effective approach in Argentina ????BMJ Health Care Inform http://www.kidney.de/pget.php?&tw=1&pmid=34281995 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34281995 #FOAvip English Wikipedia <ref>{{Cite pmid|34281995}}</ref> Telemammography for breast cancer screening: a cost-effective approach in Argentina #MMPMID34281995 Malek Pascha VA; Sun L; Gilardino R; Legood R BMJ Health Care Inform 2021[Jul]; 28 (1): � PMID34281995show ga OBJECTIVES: Argentina is a low and middle-income country (LMIC) with a highly fragmented healthcare system that conflicts with access to healthcare stated by the country's Universal Health Coverage plan. A tele-mammography network could improve access to breast cancer screening decreasing its mortality. This research aims to conduct an economic evaluation of the implementation of a tele-mammography program to improve access to healthcare. METHODS: A cost-utility analysis was performed to explore the incremental benefit of annual tele-mammography screening for at-risk Argentinian women over 40 years old. A Markov model was developed to simulate annual mammography or tele-mammography screening in two hypothetical population-based cohorts of asymptomatic women. Parameter uncertainty was evaluated through deterministic and probabilistic sensitivity analysis. Model structure uncertainty was also explored to test the robustness of the results. RESULTS: It was estimated that 31 out of 100 new cases of breast cancer would be detected by mammography and 39/100 by tele-mammography. The model returned an incremental cost-effectiveness ratio (ICER) of pound26 051/quality-adjusted life-year (QALY) which is lower than the WHO-recommended threshold of pound26 288/QALY for Argentina. Deterministic sensitivity analysis showed the ICER is most sensitive to the uptake and sensitivity of the screening tests. Probabilistic sensitivity analysis showed tele-mammography is cost-effective in 59% of simulations. DISCUSSION: Tele-mammography should be considered for adoption as it could improve access to expertise in underserved areas where adherence to screening protocols is poor. Disaggregated data by province is needed for a better- informed policy decision. Telemedicine could also be beneficial in ensuring the continuity of care when health systems are under stress like in the current COVID-19 pandemic. CONCLUSION: There is a 59% chance that tele-mammography is cost-effective compared to mammography for at-risk Argentinian women over 40- years old, and should be adopted to improve access to healthcare in underserved areas of the country. |*Breast Neoplasms/diagnosis/economics[MESH] |*Medical Informatics[MESH] |*Telemedicine[MESH] |Adult[MESH] |Argentina[MESH] |COVID-19[MESH] |Cost-Benefit Analysis/*economics[MESH] |Early Detection of Cancer/*economics[MESH] |Female[MESH] |Health Services Accessibility[MESH] |Humans[MESH] |Mammography/*economics[MESH] |Middle Aged[MESH] |Quality-Adjusted Life Years[MESH]Telemammography for breast cancer screening: a cost-effective approach(epmc).pdf DeepDyve Pubget Overpricing