Medical Decision Making

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for more information

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (6)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Dewilde, S.
Right arrow Articles by Anderson, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Dewilde, S.
Right arrow Articles by Anderson, R.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Medical Decision Making, Vol. 24, No. 5, 486-492 (2004)
DOI: 10.1177/0272989X04268953

The Cost-Effectiveness of Screening Programs Using Single and Multiple Birth Cohort Simulations: A Comparison Using a Model of Cervical Cancer

Sarah Dewilde, MSc

MEDTAP International® Inc., London, UK

Rob Anderson, PhD

CHERE, University of Technology, Sydney, PO Box 123, Broadway, NSW 2007, Australialia.

Despite early recognition of the theoretical advantages of simulations that include different population subgroups/ strata and different birth cohorts, manymodeling-based economic evaluations of cervical screening have been based on unrealistic single birth cohort simulations. The authors examined the effect of amultiple birth cohort simulation on the incremental cost-effectiveness estimates of cervical screening programs, compared to a conventional single cohort simulation. The choice of hypothetical cohort that starts the simulation had a major impact on the cost-effectiveness estimates: Compared with a single birth cohort simulation, the incremental cost-effectiveness of a shift from biennial to triennial screening was 30% higher when using the multiple cohort simulation. Multiple cohort simulations using the different age structures of 4 countries had little impact on the costeffectiveness ratios (variation <5%). Future modeling-based evaluations of screening policies should better reflect the age range of the population that is targeted by carefully specifying the nature of the starting cohort(s).

Key Words: cost-effectiveness • Markov model • cervical screening • cohort simulations


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Med Decis MakingHome page
J. Karnon, A. Brennan, and R. Akehurst
A Critique and Impact Analysis of Decision Modeling Assumptions
Med Decis Making, August 1, 2007; 27(4): 491 - 499.
[Abstract] [PDF]

Home page
 Obstet GynecolHome page
M. A. Bidus, G. L. Maxwell, S. Kulasingam, G. S. Rose, J. C. Elkas, M. Chernofsky, and E. R. Myers
Cost-effectiveness analysis of liquid-based cytology and human papillomavirus testing in cervical cancer screening.
Obstet. Gynecol., May 1, 2006; 107(5): 997 - 1005.
[Abstract] [Full Text] [PDF]

Home page
 ANN INTERN MEDHome page
D. B. Matchar, E. V. Westermann-Clark, D. C. McCrory, M. Patwardhan, G. Samsa, S. Kulasingam, E. Myers, A. Sarria-Santamera, A. Lee, R. Gray, et al.
Dissemination of Evidence-based Practice Center Reports
Ann Intern Med, June 21, 2005; 142(12_Part_2): 1120 - 1125.
[Abstract] [Full Text] [PDF]