publication . Article . 2001

Clinical Benefits and Cost-effectiveness

Sue J. Goldie; Louise Kuhn; Lynette Denny; Amy Pollack; Thomas C. Wright;
Open Access
  • Published: 27 Jun 2001 Journal: JAMA, volume 285, page 3,107 (issn: 0098-7484, Copyright policy)
  • Publisher: American Medical Association (AMA)
ContextCervical cancer is a leading cause of cancer-related death among women in developing countries. In such low-resource settings, cytology-based screening is difficult to implement, and less complex strategies may offer additional options.ObjectiveTo assess the cost-effectiveness of several cervical cancer screening strategies using population-specific data.Design and SettingCost-effectiveness analysis using a mathematical model and a hypothetical cohort of previously unscreened 30-year-old black South African women. Screening tests included direct visual inspection (DVI) of the cervix, cytologic methods, and testing for high-risk types of human papillomavir...
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