title: [Costs of mammogram campaigns in the Regional Health Division of Marília, São Paulo State, Brazil, 2005-2006].
abstract: The aim of this study was to measure the direct costs of mammogram campaigns conducted by the Regional Health Division of Marília, São Paulo State, Brazil, in 2005 and 2006. A total of 11,952 mammograms were performed. Mammographic outcomes were classified according to BI-RADS. Cost analysis was based on the amount paid by the Brazilian Unified National Health System (SUS). Ten cases of breast cancer were diagnosed (0.84 per 1,000 mammograms), 70% of which between 50 and 69 years of age. The campaigns and follow-up cost a total of R$450,019 (U$280,000), with R$431,467 paid for 11,952 mammograms and R$18,552 for diagnosing 29 suspected cases and treating 3 cases of benign tumors and 6 cancer cases. Mean cost per diagnosed case was R$43,268. The high cost per diagnosed case highlights the need to implement effective screening programs and improve the quality of mammography services in this region of São Paulo State.
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, Brasil. roselifreire@hotmail.com
authors.forename: Roseli Regina Freire
authors.initials: RR
authors.lastname: Marconato
authors.forename: Patrícia Coelho de
authors.initials: PC
authors.lastname: Soárez
authors.forename: Rozana Mesquita
authors.initials: RM
authors.lastname: Ciconelli
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil; D001943:Breast Neoplasms / Q000000981:diagnostic imaging; D003365:Costs and Cost Analysis; D003695:Delivery of Health Care / Q000191:economics*; D005260:Female; D017048:Health Care Costs; D006801:Humans; D008327:Mammography / Q000145:classification / Q000191:economics* / Q000706:statistics & numerical data; D008875:Middle Aged