Chapter 19: Cost-effectiveness of cervical cancer screening.

Published

Journal Article (Review)

In the last two decades, computer-based models of cervical cancer screening have been used to evaluate the cost-effectiveness of different secondary prevention policies. Analyses in countries with existing screening programs have focused on identifying the optimal screening interval, ages for starting and stopping screening, and consideration of enhancements to conventional cytology, such as human papillomavirus (HPV)-DNA testing as a triage for equivocal results or as a primary screening test for women over the age of 30. Analyses in resource-poor settings with infrequent or no screening have focused on strategies that enhance the linkage between screening and treatment, consider noncytologic alternatives such as HPV-DNA testing, and target women between the ages of 35 and 45 for screening one, two, or three times per lifetime. Despite differences in methods and assumptions, this paper identifies the qualitative themes that are consistent among studies, and highlights important methodological challenges and high-priority areas for further work.

Full Text

Duke Authors

Cited Authors

  • Goldie, SJ; Kim, JJ; Myers, E

Published Date

  • August 31, 2006

Published In

Volume / Issue

  • 24 Suppl 3 /

Start / End Page

  • S3/164 - S3/170

PubMed ID

  • 16950004

Pubmed Central ID

  • 16950004

International Standard Serial Number (ISSN)

  • 0264-410X

Digital Object Identifier (DOI)

  • 10.1016/j.vaccine.2006.05.114

Language

  • eng

Conference Location

  • Netherlands