Comparing Endoscopy and Upper Gastrointestinal X-ray for Gastric Cancer Screening in South Korea: A Cost-utility Analysis.
- Authors
- 장후선; 박은철; 정우진; 남정모; 최귀선; 조은; 조우현
- Issue Date
- Jun-2012
- Publisher
- Asian Pacific Organization for Cancer Prevention
- Citation
- Asian Pacific Journal of Cancer Prevention, v.13, no.6, pp 2721 - 2728
- Pages
- 8
- Journal Title
- Asian Pacific Journal of Cancer Prevention
- Volume
- 13
- Number
- 6
- Start Page
- 2721
- End Page
- 2728
- URI
- https://scholarworks.sookmyung.ac.kr/handle/2020.sw.sookmyung/147617
- DOI
- 10.7314/APJCP.2012.13.6.2721
- ISSN
- 1513-7368
- Abstract
- Background: There are limited data evaluating the cost-effectiveness of gastric cancer screening using endoscopy or upper gastrointestinal x-ray in the general population. Objective: To evaluate the cost- effectiveness of population-based screening for gastric cancer in South Korea by decision analysis. Methods: A time-dependent Markov model for gastric cancer was constructed for healthy adults 30 years of age and older, and a deterministic sensitivity analysis was performed. Cost-utility analysis with multiple strategies was conducted to compare the costs and effects of 13 different screening alternatives with respect to the following eligibility criteria: age at the beginning of screening, screening interval, and screening method. The main outcome measurement was the incremental cost-effectiveness ratio. Results: The results revealed that annual endoscopic screening from ages 50-80 was the most cost-effective for the male population. In the females, biennial endoscopy screening from ages 50-80 was calculated as the most cost-effective strategy among the 12 screening alternatives. The most cost-effective screening strategy may be adjustable according to the screening costs and the distribution of cancer stage at screening. The limitation was that effectiveness data were obtained from published sources. Conclusi
- Files in This Item
-
Go to Link
- Appears in
Collections - 약학대학 > 약학부 > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.