Advanced search
Add to list

The cost-effectiveness of screening programs using single and multiple birth cohort simulations : a comparison using a model of cervical cancer

(2004) MEDICAL DECISION MAKING. 24(5). p.486-492
Author
Organization
Abstract
Despite early recognition of the theoretical advantages of simulations that include different population subgroups/strata and different birth cohorts, many modeling-based economic evaluations of cervical screening have been based on unrealistic single birth cohort simulations. The authors examined the effect of a multiple birth cohort simulation on the incremental cost-effectiveness estimates Of cervical screening programs, compared to a conventional single cohort simulation. The choice of hypothetical cohort that starts the simulation hod a major impact on the cost-effectiveness estimates: Compared with a single birth cohort simulation, the incremental cost-effectiveness of a shift from biennial to triennial screening was 30% higher when using the multiple cohort simulation. Multiple cohort simulations using the different age structures of 4 countries had little impact on the cost-effectiveness ratios (variation <5%). Future modeling-based evaluations of screening policies should better reflect the age range of the population that is targeted by carefully specifying the nature of the starting cohort(s).
Keywords
cost-effectiveness, Markov model, cervical screening, cohort simulations, CLINICAL BENEFITS, SENSITIVITY, NEOPLASIA, DISEASE, TRENDS, RISK

Citation

Please use this url to cite or link to this publication:

MLA
Dewilde, Sarah, and Rob Anderson. “The Cost-effectiveness of Screening Programs Using Single and Multiple Birth Cohort Simulations : a Comparison Using a Model of Cervical Cancer.” MEDICAL DECISION MAKING 24.5 (2004): 486–492. Print.
APA
Dewilde, S., & Anderson, R. (2004). The cost-effectiveness of screening programs using single and multiple birth cohort simulations : a comparison using a model of cervical cancer. MEDICAL DECISION MAKING, 24(5), 486–492.
Chicago author-date
Dewilde, Sarah, and Rob Anderson. 2004. “The Cost-effectiveness of Screening Programs Using Single and Multiple Birth Cohort Simulations : a Comparison Using a Model of Cervical Cancer.” Medical Decision Making 24 (5): 486–492.
Chicago author-date (all authors)
Dewilde, Sarah, and Rob Anderson. 2004. “The Cost-effectiveness of Screening Programs Using Single and Multiple Birth Cohort Simulations : a Comparison Using a Model of Cervical Cancer.” Medical Decision Making 24 (5): 486–492.
Vancouver
1.
Dewilde S, Anderson R. The cost-effectiveness of screening programs using single and multiple birth cohort simulations : a comparison using a model of cervical cancer. MEDICAL DECISION MAKING. 2004;24(5):486–92.
IEEE
[1]
S. Dewilde and R. Anderson, “The cost-effectiveness of screening programs using single and multiple birth cohort simulations : a comparison using a model of cervical cancer,” MEDICAL DECISION MAKING, vol. 24, no. 5, pp. 486–492, 2004.
@article{8579796,
  abstract     = {Despite early recognition of the theoretical advantages of simulations that include different population subgroups/strata and different birth cohorts, many modeling-based economic evaluations of cervical screening have been based on unrealistic single birth cohort simulations. The authors examined the effect of a multiple birth cohort simulation on the incremental cost-effectiveness estimates Of cervical screening programs, compared to a conventional single cohort simulation. The choice of hypothetical cohort that starts the simulation hod a major impact on the cost-effectiveness estimates: Compared with a single birth cohort simulation, the incremental cost-effectiveness of a shift from biennial to triennial screening was 30% higher when using the multiple cohort simulation. Multiple cohort simulations using the different age structures of 4 countries had little impact on the cost-effectiveness ratios (variation <5%). Future modeling-based evaluations of screening policies should better reflect the age range of the population that is targeted by carefully specifying the nature of the starting cohort(s).},
  author       = {Dewilde, Sarah and Anderson, Rob},
  issn         = {0272-989X},
  journal      = {MEDICAL DECISION MAKING},
  keywords     = {cost-effectiveness,Markov model,cervical screening,cohort simulations,CLINICAL BENEFITS,SENSITIVITY,NEOPLASIA,DISEASE,TRENDS,RISK},
  language     = {eng},
  number       = {5},
  pages        = {486--492},
  title        = {The cost-effectiveness of screening programs using single and multiple birth cohort simulations : a comparison using a model of cervical cancer},
  url          = {http://dx.doi.org/10.1177/0272989x04268953},
  volume       = {24},
  year         = {2004},
}

Altmetric
View in Altmetric
Web of Science
Times cited: