Cost-effectiveness Analysis of Prostate Cancer Screening
スポンサーリンク
概要
- 論文の詳細を見る
To determine the optimal strategy for prostate cancer screening, the cost-effectiveness of screening was analyzed using a medical decision model. One hundred thousand asymptomatic males between the ages of 40 and 69 were modeled with and without screening. The subjects were divided into three 10-year age groups. We used a 5-year survival rate as an effectiveness point and assumed after 5 year survival free from prostate cancer. We considered three potential programs : 1) screening with digital rectal examination (DRE), 2) screening with prostate specific antigen (PSA), and 3) screening with a combination of DRE and PSA. The study was analyzed from the payer's perspective, and only direct medical costs were included. For each of the three age groups, PSA screening was more cost-effective than either DRE screening or a combination of DRE and PSA screening. The cost-effectiveness ratio for the combination of DRE and PSA screening was 1.1-2.3 times more expensive than that of PSA screening. If the compliance rate for work-up exams is 80%, the cost-effectiveness of prostate cancer screening is approximate to that of gastric cancer screening. In conclusion, PSA screening is the most cost-effective strategy for prostate cancer screening when compared with both DRE and the combination of DRE and PSA screening. But prostate cancer screening should be carefully conducted, taking the cost-effectiveness of the different strategies and target groups into consideration.
- 日本衛生学会の論文
著者
-
YOSHIDA Katsumi
Department of Clinical and Laboratory Medicine, Tohoku University School of Medicine
-
Hamashima C
National Cancer Center Res. Inst. Tokyo
-
Hamashima Chisato
Deparment Of Preventive Med. St. Marianna Univ. School Of Med.
関連論文
- Hyperthyroid Graves' Disease and Primary Hypothyroidism Caused by TSH Receptor Antibodies in Monozygotic Twins : Case Reports
- Failure in Detection of Epstein-Barr Virus and Cytomegalovirus in Specimen Obtained by Fine Needle Aspiration Biopsy of Thyroid in Patients with Subacute Thyroiditis
- Years of Potential Life Lost as the Indicator of Premature Mortality in Occupational Medicine
- Assisting the Diagnosis of Thyroid Diseases with Bayesian-Type and SOM-Type Neural Networks Making Use of Routine Test Data
- 11-O-28 Mechanical Properties of Beta-Tricalcium Phosphate Doped with Metal Ions
- Evaluation of hematuria using the urinary albumin-to-total-protein ratio to differentiate glomerular and nonglomerular bleeding
- Thyroid Hormone Regulates Rat Placental Type III Iodothyronine Deiodinase Activity by Inducing Kinetic Changes Different from Those in the Same Isozyme in Rat Brain
- Impact of Routine Exercise on Medical Costs in Patients with Ischemic Heart Disease
- Acceptability and Long-Term Compliance with Drug Treatment for Hypercholesterolemia in Japanese Male Workers : I. Acceptability of Drug Treatment
- Acceptability and Long-Term Compliance with Drug Treatment for Hypercholesterolemia in Japanese Male Workers : II. Long-Term Compliance with Drug Treatment
- Autonomously Functioning Thyroid Nodule Associated with Thyrotoxic Periodic Paralysis
- Development of Subclinical Hyperthyroidism due to Graves' Disease in a Hypothyroid Woman who had Undergone Hemithyroidectomy for Adenomatous Goiter and Radiotherapy for Nasopharyngeal Cancer
- Multiple Risk Factors Syndrome in Japanese Male Subjects Using Automatic Multiphasic Health Testing and Service Data : A Work-site Cohort Study
- Sunitinib-Induced Thyrotoxicosis Followed by Persistent Hypothyroidism with Shrinkage of Thyroid Volume
- Re-evaluation of the latent period of bladder cancer in dyestuff-plant workers in Japan
- Health Examinations Should Expand Their Scope to Musculoskeletal Conditions : Estimation of Burden of Musculoskeletal Pain on AMHTS Population in Terms of Prevalence and Interference with Daily Activities
- Parental Obesity, Lifestyle Factors and Obesity in Preschool Children : Results of the Toyama Birth Cohort Study
- Characteristic Lifestyles in 6-year-old Children with Obese Parents : Results of the Toyama Birth Cohort Study
- Influence of Behavioral and Environmental Factors on the Development of Obesity in Three-year-old Children -A Case-Control Study Based on Toyama Study-
- 3歳から6歳時における小児の body mass index に影響する環境行動要因の検討 : 富山コホートスタディ
- Association between Insomnia and Hypertension in Japanese Male Workers
- Body Image, Body Satisfaction and Dieting Behavior in Japanese Preadolescents : The Toyama Birth Cohort Study
- Body Image and Body Satisfaction Play Important Roles in the Path to Dieting Behavior in Japanese Preadolescents : The Toyama Birth Cohort Study
- Association between APACHE II Score and Nosocomial Infections in Intensive Care Unit Patients:A Multicenter Cohort Study
- Impact of Intensive Care Unit-Acquired Infection on Hospital Mortality in Japan: A Multicenter Cohort Study
- Standard Protocol for Exchange of Health-Checkups Based on SGML : The Health-Checkups Data Markup Language (HDML)
- Parental Influence on the Development of Obesity in 9-year-old Japanese Children : the Toyama Birth Cohort Study
- Impact of Intensive-Care-Unit(ICU)-Acquired Ventilator-Associated Pneumonia(VAP) on Hospital Mortality : A Matched-Paired Case-Control Study
- Insomnia is Associated with Psychological and Physical Problems in Japanese Male Workers
- A Novel EEG Index for Evaluating the Sleep Quality in Patients with Obstructive Sleep Apnea-Hypopnea Syndrome
- Epidemiological approach to nosocomial infection surveillance data : the Japanese Nosocomial Infection Surveillance System
- Incidence and Outcome of Sepsis in Japanese Intensive Care Units : The Japanese Nosocomial Infection Surveillance System
- Persistent Insomnia is a Predictor of Hypertension in Japanese Male Workers
- The Impacts of Health Examinations and Smoking on Disease Mortality Risk in Japan : a Longitudinal Cohort of 720,611 Japanese Life Insured Persons
- Risk Factors of Low APGAR Score in Japanese Full-term Deliveries : A Case-control Study
- Preventive Strategy for Hypertension Based on Attributable Risk Measures
- Application of the Updated Framingham Risk Score to Japanese Men
- Acute Mercury Poisoning by Intentional Ingestion of Mercuric Chloride
- A Study of the Reliability of Health State Valuations in the Japanese Euro Qol Instrument
- Cost-effectiveness Analysis of Prostate Cancer Screening
- Erythrocyte zinc concentration as an indicator to distinguish painless thyroiditis-associated transient hypothyroidism from permanent hypothyroidism
- Does the Japanese Society for Hygiene need its own Code of Conduct? A comparison of the responses of councilors and junior members based on a questionnaire survey
- Low back pain deprives the Japanese adult population of their quality of life : a questionnaire survey at five healthcare facilities in Japan
- Establishment of a Method to Detect Microalbuminuria by Measuring the Total Urinary Protein-to-Creatinine Ratio in Diabetic Patients
- Parental Obesity, Lifestyle Factors and Obesity in Preschool Children : Results of the Toyama Birth Cohort Study
- Effects of Thyroid Hormone on Erythrocyte Carbonic Anhydrase-I and Zinc Concentrations In Vivo and In Vitro : Clinical Usefulness of Carbonic Anhydrase-I and Zinc Concentrations in Erythrocytes