Details

Autor(en) / Beteiligte

• Ong, Mei-Sing
• Mandl, Kenneth D

Titel

National expenditure for false-positive mammograms and breast cancer overdiagnoses estimated at $4 billion a year

Ist Teil von

• Health affairs (Millwood, Va.), 2015-04, Vol.34 (4), p.576-583

Ort / Verlag

United States: The People to People Health Foundation, Inc., Project HOPE

Erscheinungsjahr

2015

Quelle

PAIS Index

Beschreibungen/Notizen

• Populationwide mammography screening has been associated with a substantial rise in false-positive mammography findings and breast cancer overdiagnosis. However, there is a lack of current data on the associated costs in the United States. We present costs due to false-positive mammograms and breast cancer overdiagnoses among women ages 40-59, based on expenditure data from a major US health care insurance plan for 702,154 women in the years 2011-13. The average expenditures for each false-positive mammogram, invasive breast cancer, and ductal carcinoma in situ in the twelve months following diagnosis were $852, $51,837 and $12,369, respectively. This translates to a national cost of $4 billion each year. The costs associated with false-positive mammograms and breast cancer overdiagnoses appear to be much higher than previously documented. Screening has the potential to save lives. However, the economic impact of false-positive mammography results and breast cancer overdiagnoses must be considered in the debate about the appropriate populations for screening.