The researchers concluded that extending the hotly-debated screening programme to younger women would have real benefits in terms of both economic efficiency and equity. The approach could also be used for other fatal diseases with similar age distributions.
“Screening only older women increases unfair disparities in terms of life expectancy, quality of life and incidence of disease,” said principal investigator Prof Louis Niessen, a public health economist at UEA’s School of Medicine.
“Our findings show that extending screening to younger women will lead to a better mix of health programmes and a more balanced approach to the fight against breast cancer.”
Prof Niessen urged policymakers and agencies such as NICE to use proper value-based weighing methods and take women’s preferences into account when next reviewing breast cancer control guidelines.
The study was carried out by a team of health economics experts at the University of East Anglia, the Erasmus Medical Centre (Netherlands), Radboud University (Netherlands) and Johns Hopkins University (US). It was facilitated by the World Health Organisation and funded by the US breast cancer charity, ‘Susan G Komen for the Cure’.
‘Incorporating equity-efficiency interactions in cost-effectiveness analysis – three approaches applied to breast cancer control’ by S Baeten (Erasmus Medical Centre, Netherlands), R Baltussen (Radboud University, Netherlands), C Uyl-de Groot (Erasmus Medical Centre, Netherlands), J Bridges (Johns Hopkins University, US) and L Niessen (UEA, Johns Hopkins University and Erasmus Medical Centre) is published by Value in Health on April 2 2010.