|Equation||(# individuals screened) x (% individuals getting screened solely because of the program) x (# QALY increase) x ($ QALY)|
|Explanation||This metric estimates the impact of cancer screening leading to improved health, estimated in terms of quality-adjusted life years (QALY).
Number of individuals screened: Reported by program.
Percentage of participants who are screened solely because of the program:
We use screening rates from the Minnesota Health Care programs for low-income as counterfactual baselines for different types of cancer (MHCP, n/d):
$ value per QALY: [$50,000]
Benefits are then discounted to present value based on the average age of participation to life expectancy.
|References||Center for the Evaluation of Value and Risk in Health, Tufts Medical Center (n.d.). Cost Effectiveness Analysis Registry. Retrieved from: https://research.tufts- nemc.org/cear4/SearchingtheCEARegistry/SearchtheCEARegistry.aspx
Heijnsdijk, E. a. M., de Carvalho, T. M., Auvinen, A., Zappa, M., Nelen, V., Kwiatkowski, M., … de Koning, H. J. (2015). Cost-effectiveness of prostate cancer screening: a simulation study based on ERSPC data. Journal of the National Cancer Institute, 107(1), 366.
Mandelblatt, M., Lawrence, W., Womack, S., Yi, B., Jacobsen, D., Hwang, Y., Gold, K., Barter, J. & Shah, K. (2002). Benefits and costs of using HPV testing to screen for cervical cancer. Journal of the American Medical Association, 287(18), 2372-2381.
Minnesota Health Care Programs (MHCP), (n/d) Retrieved from: https://www.health.state.mn.us/diseases/cancer/sage/about/facts.html
Mittmann, N., Stout, N. K., Tosteson, A. N. A., Trentham-Dietz, A., Alagoz, O., & Yaffe, M. J. (2018). Cost-effectiveness of mammography from a publicly funded health care system perspective. CMAJ Open, 6(1), E77–E86.
Tafazzoli, A., Roberts, S., Ness, R. & Dittus, R. (2005). A comparison of screening methods for colorectal cancer using simulation modeling. In M. E. Kuhl, N. M. Steiger, F. B. Armstrong & J. A. Jones (Eds.), Proceedings of the 2005 Winter Simulation Conference. Piscataway, NJ: Institute of Electrical and Electronics Engineers.
Minnesota Department of Health (2017). Quick facts: Cancer screening in Minnesota. Retrieved from: http://www.health.state.mn.us/divs/healthimprovement/data/quick-facts/screening.html