David M. Eddy, MD, PhD
Eddy DM. Breast Cancer Screening in Women Younger Than 50 Years of Age: What's Next?. Ann Intern Med. 1997;127:1035-1036. doi: 10.7326/0003-4819-127-11-199712010-00017
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Published: Ann Intern Med. 1997;127(11):1035-1036.
In this issue, a well-constructed cost-effectiveness analysis of screening mammography in women younger than 50 years of age  shows that screening in this age group is expensive, costing approximately $150 000 for a year of life saved. Those who do not like this result will no doubt challenge some details of the analysis, but they will not be able to shake its basic conclusion, which is determined by the low incidence of the disease, the relatively small beneficial effect of screening, and the long delay before any benefit appears. Unless the cost of mammography decreases dramatically, screening in younger women will always be expensive compared with the benefit it provides.
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Hematology/Oncology, Breast Cancer, Cancer Screening/Prevention, Prevention/Screening.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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