title: [Cost-effectiveness of oral cancer screening in Hungary].
abstract: BACKGROUND
  The burden of oral cancer is high in Hungary.
  
  
  OBJECTIVE
  To study the cost-effectiveness of potential oral cancer screening in Hungary.
  
  
  METHODS
  Three strategies were compared: no introduction of screening, organized yearly screening for 40-year-old males in general medical practise, and opportunistic screening of high risk 40-year-old males in primary care. Local estimates of health utilities and costs of each health state and of the screening programmes were identified. The main outcomes were total costs, quality adjusted life years, and incremental cost-effectiveness ratios.
  
  
  RESULTS
  Depending on the efficacy of the treatments of precancerous lesions and the participation rate, screening strategies are cost-effective over a 15-20 year time course. The opportunistic screening of high risk people is more cost-effective than the other strategies.
  
  
  CONCLUSIONS
  Opportunistic screening of high risk people would be cost-effective in Hungary. The uncertainty about the efficacy of the treatments of precancerous lesions requires more research to support evidence based health policy making. Orv. Hetil., 2016, 157(29), 1161-1170.
authors.affiliation: Egészségpolitika és Egészség-gazdaságtan Tanszék, Eötvös Loránd Tudományegyetem, Társadalomtudományi Kar Budapest, Pázmány Péter sétány 1/A, 1117.|Syreon Kutató Intézet Budapest.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Vokó
authors.affiliation: Egészségpolitika és Egészség-gazdaságtan Tanszék, Eötvös Loránd Tudományegyetem, Társadalomtudományi Kar Budapest, Pázmány Péter sétány 1/A, 1117.
authors.forename: Gergő
authors.initials: G
authors.lastname: Túri
authors.affiliation: Egészségpolitika és Egészség-gazdaságtan Tanszék, Eötvös Loránd Tudományegyetem, Társadalomtudományi Kar Budapest, Pázmány Péter sétány 1/A, 1117.
authors.forename: Adriána
authors.initials: A
authors.lastname: Zsólyom
mesh_terms: D000328:Adult; D001706:Biopsy; D003362:Cost-Benefit Analysis; D055088:Early Detection of Cancer / Q000191:economics; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D008297:Male; D008390:Markov Chains; D008403:Mass Screening / Q000191:economics* / Q000379:methods; D009062:Mouth Neoplasms / Q000175:diagnosis* / Q000191:economics / Q000453:epidemiology / Q000473:pathology; D011230:Precancerous Conditions / Q000175:diagnosis / Q000191:economics; D011320:Primary Health Care; D019057:Quality-Adjusted Life Years; D014057:Tomography, X-Ray Computed
keywords: cost-benefit analysis; daganatos betegségek korai felfedezése; early detection of cancer; költséghatékonysági vizsgálat; mouth neoplasm; szájüregi daganatok