Lower Recurrence Risk Through Mammographic Screening Reduces Breast Cancer Treatment Costs

Breast. 2008 Dec;17(6):550-4. doi: 10.1016/j.breast.2008.08.008. Epub 2008 Oct 14.

Abstract

Mammographic screening is associated with a reduced risk of breast cancer recurrence. The objective of the study was to evaluate treatment costs due to breast cancer recurrence in relation to patients' use of mammographic screening, consecutively collected in a defined population. The study included 418 women exposed to screening and 109 women unexposed to screening diagnosed with stage I-III breast cancer. During the first eight years after primary diagnosis, 19% (N=80) of the exposed women and 33% (N=36) of the unexposed women developed recurrent disease, P=0.002. In the exposed group, 41% of the 8-year treatment costs were for the treatment of patients who developed recurrent disease, compared with 52% in the unexposed group, P=0.039. Among the relapsed patients, the mean post-recurrence costs were EUR14,950, accounting for 65% of their total 8-year costs. The mean post-recurrence costs were comparable for both exposure groups irrespective of the detection method.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Breast Neoplasms / diagnostic imaging*
  • Breast Neoplasms / economics*
  • Breast Neoplasms / epidemiology
  • Breast Neoplasms / therapy
  • Female
  • Finland / epidemiology
  • Health Care Costs / statistics & numerical data*
  • Humans
  • Longitudinal Studies
  • Mammography / statistics & numerical data*
  • Middle Aged
  • Neoplasm Recurrence, Local / diagnostic imaging*
  • Neoplasm Recurrence, Local / economics*
  • Neoplasm Recurrence, Local / epidemiology
  • Neoplasm Recurrence, Local / therapy
  • Outcome and Process Assessment, Health Care
  • Survival Analysis