Cost of the Cervical Cancer Screening Program at the Mexican Social Security Institute
Objective. To estimate the annual cost of the National Cervical Cancer Screening Program (CCSP) of the Mexican Institute of Social Security (IMSS). Materials and methods. This cost analysis examined regional coverage rates reported by IMSS. We estimated the number of cytology, colposcopy, biopsy and...
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Instituto Nacional de Salud Pública
2014-09-01
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doaj-0df260f9c4c447b09a08959131f785072020-11-25T01:06:24ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36341606-79162014-09-0156550251010.21149/spm.v56i5.737515834Cost of the Cervical Cancer Screening Program at the Mexican Social Security InstituteVíctor Granados-García0Yvonne N Flores1Ruth Pérez2Samantha E Rudolph3Eduardo Lazcano-Ponce4Jorge Salmerón5Unidad de Investigación Epidemiológica y en Sistemas de Salud, Área de envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social. México DF, México.Unidad de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social. Cuernavaca, Morelos, México;Department of Health Policy and Management, Fielding School of Public Health and Jonsson Comprehensive Cancer Center. University of California. Los Angeles, California, USA.Coordinación Delegacional de Abastecimiento y Equipamiento, Delegación Morelos, Instituto Mexicano del Seguro Social. Cuernavaca, Morelos, México.Unidad de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social. Cuernavaca, Morelos, México; UC Berkeley-UC San Francisco Joint Medical Program, University of California. Berkeley, California, USA.Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública. Cuernavaca, México.Unidad de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social. Cuernavaca, Morelos, México; Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública. Cuernavaca, México.Objective. To estimate the annual cost of the National Cervical Cancer Screening Program (CCSP) of the Mexican Institute of Social Security (IMSS). Materials and methods. This cost analysis examined regional coverage rates reported by IMSS. We estimated the number of cytology, colposcopy, biopsy and pathology evaluations, as well as the diagnostic test and treatment costs for cervical intraepithelial neoplasia grade II and III (CIN 2/3) and cervical cancer. Diagnostic test costs were estimated using a micro-costing technique. Sensitivity analyses were performed. Results. The cost to perform 2.7 million cytology tests was nearly 38 million dollars, which represents 26.1% of the total program cost (145.4 million). False negatives account for nearly 43% of the program costs. Conclusion. The low sensitivity of the cytology test generates high rates of false negatives, which results in high institutional costs from the treatment of undetected cervical cancer cases.http://www.saludpublica.mx/index.php/spm/article/view/7375costs and cost analysiscytologyscreeningcervical cancerMexico |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Víctor Granados-García Yvonne N Flores Ruth Pérez Samantha E Rudolph Eduardo Lazcano-Ponce Jorge Salmerón |
spellingShingle |
Víctor Granados-García Yvonne N Flores Ruth Pérez Samantha E Rudolph Eduardo Lazcano-Ponce Jorge Salmerón Cost of the Cervical Cancer Screening Program at the Mexican Social Security Institute Salud Pública de México costs and cost analysis cytology screening cervical cancer Mexico |
author_facet |
Víctor Granados-García Yvonne N Flores Ruth Pérez Samantha E Rudolph Eduardo Lazcano-Ponce Jorge Salmerón |
author_sort |
Víctor Granados-García |
title |
Cost of the Cervical Cancer Screening Program at the Mexican Social Security Institute |
title_short |
Cost of the Cervical Cancer Screening Program at the Mexican Social Security Institute |
title_full |
Cost of the Cervical Cancer Screening Program at the Mexican Social Security Institute |
title_fullStr |
Cost of the Cervical Cancer Screening Program at the Mexican Social Security Institute |
title_full_unstemmed |
Cost of the Cervical Cancer Screening Program at the Mexican Social Security Institute |
title_sort |
cost of the cervical cancer screening program at the mexican social security institute |
publisher |
Instituto Nacional de Salud Pública |
series |
Salud Pública de México |
issn |
0036-3634 1606-7916 |
publishDate |
2014-09-01 |
description |
Objective. To estimate the annual cost of the National Cervical Cancer Screening Program (CCSP) of the Mexican Institute of Social Security (IMSS). Materials and methods. This cost analysis examined regional coverage rates reported by IMSS. We estimated the number of cytology, colposcopy, biopsy and pathology evaluations, as well as the diagnostic test and treatment costs for cervical intraepithelial neoplasia grade II and III (CIN 2/3) and cervical cancer. Diagnostic test costs were estimated using a micro-costing technique. Sensitivity analyses were performed. Results. The cost to perform 2.7 million cytology tests was nearly 38 million dollars, which represents 26.1% of the total program cost (145.4 million). False negatives account for nearly 43% of the program costs. Conclusion. The low sensitivity of the cytology test generates high rates of false negatives, which results in high institutional costs from the treatment of undetected cervical cancer cases. |
topic |
costs and cost analysis cytology screening cervical cancer Mexico |
url |
http://www.saludpublica.mx/index.php/spm/article/view/7375 |
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