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A Canadian peer-reviewed journal of population health and health services research

December 2015

Modelling mammography screening for breast cancer in the Canadian context: Modification and testing of a microsimulation model

by Martin J. Yaffe, Nicole Mittmann, Pablo Lee, Anna N.A. Tosteson, Amy Trentham-Dietz, Oguzhan Alagoz and Natasha K. Stout

Organized provincial breast cancer screening programs have operated in Canada since 1988. These  programs contribute to mortality reduction, but they use substantial resources.

Abstract Full article PDF version The Daily release

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Modelling mammography screening for breast cancer in the Canadian context: Modification and testing of a microsimulation model

Clinical outcomes of modelling mammography screening strategies

by Martin J. Yaffe, Nicole Mittmann, Pablo Lee, Anna N.A. Tosteson, Amy Trentham-Dietz, Oguzhan Alagoz and Natasha K. Stout

Organized provincial breast cancer screening programs in Canada typically include a mechanism to invite eligible women to attend at recommended intervals, standardized reporting, quality assurance, monitoring of outcomes, and a link between the screening process and subsequent imaging to assess suspicious screen-detected findings. However, the age range and frequency of population screening have been subjects of debate, and implementation of screening varies across the country.

Abstract Full article PDF version The Daily release

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Clinical outcomes of modelling mammography screening strategies

Total cost-effectiveness of mammography screening strategies

by Nicole Mittmann, Natasha K. Stout, Pablo Lee, Anna N.A. Tosteson, Amy Trentham-Dietz, Oguzhan Alagoz and Martin J. Yaffe

Implementation of screening programs can have significant budget implications, depending on the size of the population affected and the health care system resources involved. Recommendations for mammography screening are continually being updated and modified—the age range, frequency, effectiveness and cost-effectiveness of population-wide screening are ongoing topics of debate. Decisions about whether to screen, who should be screened, what modalities to use, and how frequently to screen are best made when the trade-offs between improved health outcomes, potential harm, and the economic impact are understood.

Abstract Full article PDF version The Daily release

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Total cost-effectiveness of mammography screening strategies

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