ArticleCancer causes & control : CCC2019
Cost-effectiveness of patient navigation for breast cancer screening in the National Breast and Cervical Cancer Early Detection Program.
Article in Cancer causes & control : CCC, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cost-effectiveness of Leveraging Social Determinants of Health to Improve Breast, Cervical, and Colorectal Cancer Screening: A Systematic Review.JAMA oncology · 2020Pooled it
- Article
- Examining the barriers and facilitators of mammography screening in women in southern Iran: The use of intervention mapping.Journal of education and health promotion · 2026Article
- Implementation and performance barriers in Iran's breast cancer screening program: a qualitative case study.Frontiers in public health · 2025Observational
- Article
- Review
- Adapting a model of cervical carcinogenesis to self-identified Black women to evaluate racial disparities in the United States.Journal of the National Cancer Institute. Monographs · 2023Article
- Social Determinants of Health in Imaging-based Cancer Screening: A Case-based Primer with Strategies for Care Improvement.Radiographics : a review publication of the Radiological Society of North America, Inc · 2023Article
- The Integration of Value Assessment and Social Network Methods for Breast Health Navigation Among African Americans.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023Article
- HPV vaccination and cervical cancer screening promotion among Black individuals: social ecological perspectives from key informants interviews.Ethnicity & health · 2023Article
- Retrenchment of Wisconsin's Well Woman Program and changes in insurance coverage around the Affordable Care Act.Preventive medicine reports · 2022Article
- Patient Navigation Can Improve Breast Cancer Outcomes among African American Women in Chicago: Insights from a Modeling Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2022Article
- Cost-effectiveness of MR-mammography as a solitary imaging technique in women with dense breasts: an economic evaluation of the prospective TK-Study.European radiology · 2021Article
- Reduced Mammography Screening for Breast Cancer among Women with Visual Impairment.Ophthalmology · 2021Article
- Cost-effectiveness of breast cancer screening in the National Breast and Cervical Cancer Early Detection Program.Cancer causes & control : CCC · 2019Article
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Authors and funding
7 authors.
Funding
Abstract
objectivesPatient navigation (PN) services have been shown to improve cancer screening in disparate populations. This study estimates the cost-effectiveness of implementing PN services within the National Breast and Cervical Cancer Early Detection Program (NBCCEDP).
methodsWe adapted a breast cancer simulation model to estimate a population cohort of women aged 40-64 years from the NBCCEDP through their lifetime. We incorporated their screening frequency and screening and diagnostic costs.
resultsWithin the NBCCEDP, Program with PN (vs. No PN) resulted in a greater number of mammograms per woman (4.23 vs. 4.14), lower lifetime mortality from breast cancer (3.53% vs. 3.61%), and fewer missed diagnostic resolution per woman (0.017 vs. 0.025). The estimated incremental cost-effectiveness ratios for a Program with PN was $32,531 per quality-adjusted life-years relative to Program with No PN.
conclusionsIncorporating PN services within the NBCCEDP may be a cost-effective way of improving adherence to screening and diagnostic resolution for women who have abnormal results from screening mammography. Our study highlights the value of supportive services such as PN in improving the quality of care offered within the NBCCEDP.
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