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dc.contributor.authorAcera Perez, Amèlia
dc.contributor.authorRodríguez, Ana
dc.contributor.authorTrapero-Bertran, Marta
dc.contributor.authorSoteras, Pilar
dc.contributor.authorSánchez, Norman
dc.contributor.authorBonet Simó, Josep Maria
dc.contributor.authorManresa, Josep Maria
dc.contributor.authorHidalgo Valls, Pablo
dc.contributor.authorTorán-Monserrat, Pere
dc.contributor.authorPrieto, Gemma
dc.date.accessioned2019-12-05T10:09:29Z
dc.date.available2019-12-05T10:09:29Z
dc.date.issued2011-10-19
dc.identifier.citationAcera, Amelia Rodríguez, Ana Trapero Bertran, Marta; Soteras, Pilar et al. «Economic evaluation of three populational screening strategies for cervical cancer in the county of Valles Occidental: CRICERVA clinical trial». BMC Health Services Research, 2011, vol. 11, art. 287. Disponible en: <https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-11-278>. Fecha de acceso: 05 dic. 2019. DOI: 10.1186/1472-6963-11-278ca
dc.identifier.issn1472-6963ca
dc.identifier.urihttp://hdl.handle.net/20.500.12328/1375
dc.description.abstractBackground: A high percentage of cervical cancer cases have not undergone cytological tests within 10 years prior to diagnosis. Different population interventions could improve coverage in the public system, although costs will also increase. The aim of this study was to compare the effectiveness and the costs of three types of population interventions to increase the number of female participants in the screening programmes for cancer of the cervix carried out by Primary Care in four basic health care areas. Methods/Design: A cost-effectiveness analysis will be performed from the perspective of public health system including women from 30 to 70 years of age (n = 20,994) with incorrect screening criteria from four basic health care areas in the Valles Occidental, Barcelona, Spain. The patients will be randomly distributed into the control group and the three intervention groups (IG1: invitation letter to participate in the screening; IG2: invitation letter and informative leaflet; IG3: invitation letter, informative leaflet and a phone call reminder) and followed for three years. Clinical effectiveness will be measured by the number of HPV, epithelial lesions and cancer of cervix cases detected. The number of deaths avoided will be secondary measures of effectiveness. The temporal horizon of the analysis will be the life expectancy of the female population in the study. Costs and effectiveness will be discounted at 3%. In addition, univariate and multivariate sensitivity analysis will be carried out. Discussion: IG3 is expected to be more cost-effective intervention than IG1 and IG2, with greater detection of HPV infections, epithelial lesions and cancer than other strategies, albeit at a greater cost.ca
dc.format.extent7ca
dc.language.isoengca
dc.publisherBMCca
dc.relation.ispartofBMC Health Services Researchca
dc.relation.ispartofseries11;287
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/4.0/ca
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subject.otherCost effectivenessca
dc.subject.otherCost-eficàciaca
dc.subject.otherAnálisis coste-beneficioca
dc.subject.otherGinecologiaca
dc.subject.otherGynecologyca
dc.subject.otherGinecologíaca
dc.titleEconomic evaluation of three populational screening strategies for cervical cancer in the county of Valles Occidental: CRICERVA clinical trialca
dc.typeinfo:eu-repo/semantics/articleca
dc.description.versioninfo:eu-repo/semantics/acceptedVersionca
dc.embargo.termscapca
dc.subject.udc33ca
dc.subject.udc61ca
dc.identifier.doihttps://doi.org/10.1186/1472-6963-11-278ca


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