Biennial lung cancer screening in Canada with smoking cessation—outcomes and cost-effectiveness
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- 作者：John R. Goffin ; MD ; FRCPCa ; goffin@mcmaster.ca" class="auth_mail" title="E-mail the corresponding author ; William M. Flanagan ; BMb ; Bill.Flanagan@canada.ca" class="auth_mail" title="E-mail the corresponding author ; Anthony B. Miller ; MD ; FRCPCc ; ab.miller@sympatico.ca" class="auth_mail" title="E-mail the corresponding author ; Natalie R. Fitzgerald ; MAd ; Natalie.Fitzgerald@partnershipagainstcancer.ca" class="auth_mail" title="E-mail the corresponding author ; Saima Memon ; MBBS ; MPHd ; saima.memon@partnershipagainstcancer.ca" class="auth_mail" title="E-mail the corresponding author ; Michael C. Wolfson ; PhDe ; michael.wolfson@uottawa.ca" class="auth_mail" title="E-mail the corresponding author ; William K. Evans ; MD ; FRCPCa ; Bill.Evans@cancercare.on.ca" class="auth_mail" title="E-mail the corresponding author
- 关键词：ACER ; average cost-effectiveness ratio ; CT ; computerized tomography ; ICER ; incremental cost-effectiveness ratio ; LDCT ; low dose computerized tomography ; LYs ; life years ; NLST ; national lung screening trial ; QALYs ; quality adjusted life years
- 刊名：Lung Cancer
- 出版年：2016
- 出版时间：November 2016
- 年：2016
- 卷：101
- 期：Complete
- 页码：98-103
- 全文大小：493 K
文摘
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Lung cancer screening by CT decreases mortality but consumes resources.
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Our model suggests that biennial screening is more cost-effective than annual.
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Over a 20 year screening program, quality-adjusted life-years saved are similar.
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Average incremental CT scan use with biennial screening is half that of annual.
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Adding a smoking cessation program to screening improves cost-effectiveness.