Abstract:
BACKGROUND:On 31 December 2013, the US Preventive Services Task Force rated low-dose computed tomography (LDCT) for lung cancer screening as level 'B' recommendation. Yet, lung cancer screening implementation remains controversial, particularly when considering its cost-effectiveness. The aim of this work is to investigate the cost-effectiveness of LDCT screening program for lung cancer by performing a systematic literature review. METHODS:We reviewed the published economic evaluations of LDCT in lung cancer screening. MEDLINE, ISI Web of Science and Cochrane databases were searched for literature retrieval up to 31 March 2015. Inclusion criteria included: studies reporting an original full economic evaluation; reports presenting the outcomes as Quality-Adjusted Life Years (QALYs) gained or as Life Years Gained. RESULTS:Nine economic evaluations met the inclusion criteria. All the cost-effectiveness analyses included high risk populations for lung cancer and compared the use of annual LDCT screening with no screening. Seven studies reported an incremental cost-effectiveness ratio below the threshold of US$ 100 000 per QALY gained. CONCLUSIONS:Cost-effectiveness of LDCT screening for lung cancer is an highly debatable issue. Currently available economic evaluations suggest the cost-effectiveness of LDCT for lung cancer screening compared with no screening and indicate that the implementation of LDCT should be considered when planning a national lung cancer screening program. Additional economic evaluations, especially from a societal perspective and in an EU-setting, are needed.
journal_name
Eur J Public Healthjournal_title
European journal of public healthauthors
Puggina A,Broumas A,Ricciardi W,Boccia Sdoi
10.1093/eurpub/ckv158subject
Has Abstractpub_date
2016-02-01 00:00:00pages
168-75issue
1eissn
1101-1262issn
1464-360Xpii
ckv158journal_volume
26pub_type
杂志文章,评审abstract:BACKGROUND:Joint British Societies have developed a tool that utilizes information on cardiovascular disease (CVD) risk factors to estimate an individual's 'heart age'. We studied if using heart age as an add-on to conventional risk communication could enhance the motivation for adapting to a healthier lifestyle result...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa048
更新日期:2020-12-11 00:00:00
abstract:BACKGROUND:The aim was to investigate the differences in alcohol involvement in fatal injury events between females and males. METHODS:Information was obtained from the Forensic Medicine Database and the Forensic Toxicology Database of the National Board of Forensic Medicine, and from the inpatient register of the Nat...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl039
更新日期:2006-06-01 00:00:00
abstract:Background:Unemployment in early adulthood is associated with higher rate of disability due to common mental disorders (CMDs). We investigated to what extent the association between unemployment and sub-sequent long-term sickness absence due to CMDs is direct or whether it is dependent on accumulation of mental health ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cky024
更新日期:2018-10-01 00:00:00
abstract::The effect of cannabis and cocaine use on non-fatal traffic injuries and use of motorcycle helmets or car seatbelts was assessed in a nationwide sample of 17,484 car or motorcycle drivers surveyed in 2005 in Spain. Logistic regression was used to adjust for distance driven and potential confounders. Cocaine use ≥ 1 da...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckq161
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:There is increasing recognition of the importance of obesity as a cause of death but it is uncommon for obesity to be certified on death certificates. We considered it useful to study what doctors actually do in respect of certification of obesity and to study trends, if any, in certification practice. METH...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp230
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Tobacco-control policies have been suggested to reduce smoking among adolescents. However, there is limited evidence on the real-world costs of implementation in different settings. In this study, we aimed at estimating the costs of school smoking bans, school prevention programmes and non-school bans (smoki...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckz150
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:This study examines the prevalence and correlates of stages of change of smoking, in terms of psychosocial, structural and sociodemographic factors, among inhabitants of deprived neighbourhoods. METHODS:Cross-sectional data were obtained from a survey on health related behaviour. Subjects were 2009 current ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cki112
更新日期:2005-04-01 00:00:00
abstract:Background:Research suggests that policymakers often use personal contacts to find information and advice. However, the main sources of information for public health policymakers are not known. This study aims to describe policymakers' sources of information. A questionnaire survey of public health policymakers across ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv083
更新日期:2017-05-01 00:00:00
abstract:Background:Health status has been reported to change before, during and after disability pension receipt. These associations might be subject to temporal changes according to changes in policy, incidence of disability pensions and other contextual factors. We compared the perceived health around time of disability reti...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckx082
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Women's diets are healthier than men's. Finnish women eat more fruits and vegetables but less meat than men. Gender differences may be larger in the Baltic countries, which represent Eastern European transition societies than in Finland, a society characterized by the Scandinavian welfare ideology and a high...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl265
更新日期:2007-10-01 00:00:00
abstract::Data of the national hepatitis C virus (HCV) notification system and the Swiss hepatitis C cohort study have been analysed for birth year distribution. Persons born between 1955 and 1974 are disproportionally affected by HCV, accounting for 61% of all reported infections. Over the course of the reporting period from 1...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cku095
更新日期:2015-02-01 00:00:00
abstract:AIM:Examine negative side-effects on self-rated health and well-being of a community-based intervention in a fishing community in the Norwegian Arctic. METHOD:A cohort study with quasi-experimental design with one intervention community and three control communities from the same area. There was a baseline screening (...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cki101
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:Health 2020 is the regional health policy framework of the World Health Organization (WHO) Regional Office for Europe. The goals of Health 2020 are to improve health and well-being, reduce health inequalities and strengthen public health. To gain insight into the Health 2020 targets needing extra attention i...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa091
更新日期:2020-12-11 00:00:00
abstract:BACKGROUND:In the Netherlands, managed competition between health plans has been introduced. For Dutch health plans this implies that they need to collect data about their own performance and that of the care providers they contract. To that end, Consumer Assessment of Health Plan Surveys (CAHPS) instruments have recen...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl023
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:Although a great deal of evidence is available on the patterns and determinants of unmet health care needs among adolescents with mental health problems, little is known about the factors that influence the need for care. The aim of this study is to assess the occurrence of need for care for mental problems ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cks087
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Previous studies indicate that hearing loss have negative emotional implications also on spouses of the hearing impaired persons. We sought to assess the relationship between hearing impairment and spousal mental health in the general population. METHODS:Pure tone audiometry and questionnaires were administ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp176
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:When resources are limited, occupational health survey participants are usually invited to consultations based on an occupational health provider's subjective considerations. This study aimed to find health survey participants at risk of long-term (i.e., ≥ 42 consecutive days) sickness absence (LTSA) for con...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa246
更新日期:2021-01-07 00:00:00
abstract:BACKGROUND:Socio-economic position measures, such as education, occupational class and income, are well-known determinants of health. However, previous studies have not paid attention to mutual interrelationships between these socio-economic position measures and medically confirmed sickness absence. METHODS:The study...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp162
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Since the implementation of the Icelandic Model for Primary Prevention of Substance Use in Iceland (IPM), substance use has decreased steadily among 14-16-year-old adolescents and primary prevention factors have improved. Although the IPM is being implemented in several other regions around the world, inform...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa097
更新日期:2020-08-27 00:00:00
abstract:BACKGROUND:The objectives were to estimate the size of homeless family population in Paris region, to describe their living conditions and health and to analyse the impact of homelessness on children's growth and development, which was never investigated in France. METHODS:A cross-sectional survey was conducted on a r...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv187
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:The objective of this study is to analyse gender inequalities in the combination of job and family life and their effect on health status and use of health care services. METHODS:The data come from the Navarra Survey of Working Conditions (Spain, 1997) carried out on a sample of 2185 workers. The analysis w...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/14.1.43
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:Research has identified alcohol to be an important risk factor for several types of cancers. This study estimates the number of incident cancers attributable to alcohol consumption in the European Union (EU) in 2017, with a special focus on those caused by light to moderate drinking levels. METHODS:The attr...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa236
更新日期:2020-12-18 00:00:00
abstract:BACKGROUND:Earlier studies have reported socioeconomic differences in coronary heart disease incidence and mortality and in coronary treatment, but less is known about outcomes of care. We examined trends in income group differences in outcomes of coronary revascularizations among Finnish residents in 1998-2010. METHO...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv086
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:In this paper, we investigate cross-sectional and prospective relationships between various socioeconomic indicators and different health behaviours among boys and girls at ages 13-21, and whether socioeconomic status (SES) is related to changes in health behaviour over time. METHODS:The study is based on a...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cki051
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Socioeconomic inequalities in health and healthcare use in old age have been on the rise during the past two decades. So far, it is unknown whether these inequalities have permeated the nursing home setting. This study aimed to assess whether the socioeconomic position of newly admitted nursing home resident...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa207
更新日期:2021-01-11 00:00:00
abstract:BACKGROUND:Mental problems have been hypothesized to impede social adaptation and vice versa, and discrimination is assumed to interact with both. The available empirical documentation is, however, limited. The objective of this study is to contribute to a more comprehensive understanding of associations and pathways b...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckm073
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Screening is intended to advance diagnosis thereby shifting the stage distribution towards more locally confined stages. Consequently we aimed to estimate trends in stage-specific breast cancer in relation to the introduction of population-based screening. METHODS:From the Cancer Registry of Norway we retri...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cku015
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Although many previous epidemiological studies have reported the incidence of diseases, mortality rate and economic losses after natural disasters, none of these studies has been comprehensive enough. Our aim was to establish a synthetic evaluation model (SEM) that can be used to analyze flood hazards. METH...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl067
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:This study examines the effect of past tobacco control policies and projects the effect of future policies on smoking and snus use prevalence and associated premature mortality in Sweden. METHODS:The established SimSmoke model was adapted with population, smoking rates and tobacco control policy data from S...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckt178
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND:Cigarette smoking is known to increase the risk of chronic disease. Improved understanding of factors that contribute to smoking initiation and cessation may help to underpin strategies that lead to smoking behavior change. METHODS:Cross-sectional data obtained from 11,967 men and women, aged 20-65 years, w...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cki077
更新日期:2005-06-01 00:00:00