title: Anticipating the consequences for the primary therapy of breast cancer after introducing screening. A more global picture for health care policy making.
abstract: A breast cancer screening program mainly aims at reducing mortality. However, it also has an effect, often not assessed, on the utilization of health care resources that is relevant to health care policy making. Using a simulation model, this paper forecasts the impact of introducing a breast cancer screening program on the utilization of resources for the primary therapy of breast cancer. The most important consequences from a health care point of view will be an increased use of breast-conserving therapy and an increased need for postoperative radiotherapy; there will also be a higher number of women diagnosed with noninvasive breast cancer. The results of this study could provide support for health care decision making by showing the consequences of policy decisions on the introduction of screening programs for health care utilization.
authors.affiliation: Catalan Institute of Oncology.
authors.forename: J M
authors.initials: JM
authors.lastname: Borràs
authors.forename: J A
authors.initials: JA
authors.lastname: Espinas
authors.forename: P M
authors.initials: PM
authors.lastname: Beemsterboer
authors.forename: A
authors.initials: A
authors.lastname: Granados
authors.forename: H J
authors.initials: HJ
authors.lastname: de Koning
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000517:prevention & control*; D003198:Computer Simulation; D003362:Cost-Benefit Analysis; D003955:Diagnostic Tests, Routine / Q000706:statistics & numerical data; D005260:Female; D005544:Forecasting; D006291:Health Policy; D006295:Health Resources / Q000706:statistics & numerical data*; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data; D008875:Middle Aged; D012680:Sensitivity and Specificity; D013030:Spain; D013673:Technology Assessment, Biomedical