title: Analysis of the cost-effectiveness of mammography promotion by volunteers in rural communities.
abstract: The Community Trial of Breast Cancer Screening Promotion assessed the effectiveness and cost-effectiveness of mammography promotion by community volunteer groups in rural areas using three different intervention approaches: individual counseling, community activities, and a combined intervention including both. Societal costs of the interventions were calculated and used in conjunction with measures of effectiveness to calculate cost-effectiveness in terms of cost per additional mammogram and cost per year of life saved. Methods of collecting and using cost information to assess the cost-effectiveness of community interventions are described. The Community Activities intervention was found to be the most cost-effective, at approximately $2,000 for each additional regular mammography user in the community. The cost per year of life saved associated with mammography promotion was approximately $56,000 per year of life saved. Exploratory analyses suggest that the most cost-effective method of promoting mammography use may vary with the target population.
authors.affiliation: Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA. rander@fhcrc.org
authors.forename: M Robyn
authors.initials: MR
authors.lastname: Andersen
authors.forename: Michelle
authors.initials: M
authors.lastname: Hager
authors.forename: Celina
authors.initials: C
authors.lastname: Su
authors.forename: Nicole
authors.initials: N
authors.lastname: Urban
mesh_terms: D000368:Aged; D003362:Cost-Benefit Analysis; D003376:Counseling; D005260:Female; D006293:Health Promotion / Q000191:economics*; D006801:Humans; D008327:Mammography / Q000191:economics* / Q000706:statistics & numerical data; D008875:Middle Aged; D019057:Quality-Adjusted Life Years; D019035:Rural Health Services / Q000191:economics*; D040241:Social Marketing; D014481:United States; D014838:Volunteers; D000078329:Workforce