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Cost of services provided by the N ational B reast and C ervical Cancer E arly D etection P rogram
Author(s) -
Ekwueme Donatus U.,
Subramanian Sujha,
Trogdon Justin G.,
Miller Jacqueline W.,
Royalty Janet E.,
Li Chunyu,
Guy Gery P.,
Crouse Wesley,
Thompson Hope,
Gardner James G.
Publication year - 2014
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/cncr.28816
Subject(s) - medicine , breast cancer , cervical cancer , cost database , total cost , cancer , gynecology , business , accounting , database , computer science
BACKGROUND The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) is the largest cancer screening program for low‐income women in the United States. This study updates previous estimates of the costs of delivering preventive cancer screening services in the NBCCEDP. METHODS: We developed a standardized web‐based cost‐assessment tool to collect annual activity‐based cost data on screening for breast and cervical cancer in the NBCCEDP. Data were collected from 63 of the 66 programs that received funding from the Centers for Disease Control and Prevention during the 2006/2007 fiscal year. We used these data to calculate costs of delivering preventive public health services in the program. RESULTS: We estimated the total cost of all NBCCEDP services to be $296 (standard deviation [SD], $123) per woman served (including the estimated value of in‐kind donations, which constituted approximately 15% of this total estimated cost). The estimated cost of screening and diagnostic services was $145 (SD, $38) per women served, which represented 57.7% of the total cost excluding the value of in‐kind donations. Including the value of in‐kind donations, the weighted mean cost of screening a woman for breast cancer was $110 with an office visit and $88 without, the weighted mean cost of a diagnostic procedure was $401, and the weighted mean cost per breast cancer detected was $35,480. For cervical cancer, the corresponding cost estimates were $61, $21, $415, and $18,995, respectively. CONCLUSIONS: These NBCCEDP cost estimates may help policy makers in planning and implementing future costs for various potential changes to the program. Cancer 2014;120(16 suppl):2604‐11. © 2014 American Cancer Society .