Navigation Links
One-time Melanoma Screening Appears to Be Cost-effective for Elderly People

One-time melanoma screening of adults age 50 or older appears to be as cost-effective as other nationally recommended cancer screening programs, according to an article in the January issue of Archives of Dermatology.//

Melanoma is the only cancer for which incidence and death rates continue to increase in the United States, while screening continues to be underused, according to background information in the article. Treating melanoma costs more than $740 million each year in the United States. Older patients and those who have immediate relatives with melanoma are at higher risk. Knowledge regarding risk factors and the availability of treatment has spurred greater interest in screening; however, the lack of a large randomized trial proving screening efficacy has been cited as an obstacle preventing its widespread implementation.

Elena Losina, Ph.D., Boston University School of Public Health, and colleagues constructed a mathematical model to simulate the melanoma events that occur in a population, including disease occurrence, progression, detection with and without a screening program, treatment and death. The authors projected the additional costs of screening and the additional survival attributable to earlier detection. They then assessed the cost in dollars for every extra year of life gained (the cost-effectiveness) from melanoma screening by a dermatologist.

'We considered the following four screening strategies: background screening only; that is, skin examination at a routine non-dermatologist physician visit, followed by referral to a dermatologist, on average, once every five years; and one-time, every two years and annual screening by a dermatologist, all beginning at age 50 years,' the authors write.

In the model analysis, the cost-effectiveness of screening was about $10,100 per quality-adjusted life year gained for one-time screening compared with current practice. In other words, for every $10,100 in costs associated with one-time screening, one individual would have one additional year of life because of the screening. In addition, costs totaled $80,700 per quality-adjusted life year gained for screening every two years compared with one-time screening, and $586,800 per quality-adjusted life year gained for annual screening compared with screening every two years. Among siblings of patients with melanoma, one-time screening cost $4,000 per quality-adjusted life year gained compared with current practice, screening every two years cost an additional $35,500 per quality-adjusted life year gained, and annual screening cost an additional $257,800 per quality-adjusted life year gained.

Cost-effectiveness analyses are typically used when large randomized trials of screening procedures cannot be done for either logistical or ethical reasons, the authors write. "Using this method, interventions in the United States are generally considered cost-effective at less than $50,000 per quality-adjusted life year gained or less than $100,000 per quality-adjusted life year gained," they continue.

'This study suggests that one-time screening of the general U.S. population at age 50 years for malignant melanoma is very cost-effective and that screening every two years of siblings of patients with melanoma may also be cost-effective, depending on disease progression rates,' according to the authors. 'Either screening programs should be expanded or efforts to perform a definitive efficacy trial should be initiated.'

Source-Eurekalert
'"/>




Related medicine news :

1. UV Radiation induces Melanoma
2. Latest device for identifying Melanomas
3. Melanoma caused by low DNA repair capacity
4. Hope for First New Melanoma Treatment in Decades
5. Turmeric Found To Slow Down Melanoma Growth
6. Gene in Melanomas
7. Antigenics Pharmaceuticals plans for Phase III trial of its Melanoma vaccine
8. Skin Cancer History Puts Post-menopausal White Women At Risk For Melanoma
9. Experimental Therapy Effective Against Malignant Melanoma in Horses
10. New Technique Could Revolutionize Melanoma Diagnosis and Treatment
11. Twin Treatment Could Be Used Increase Survival Rates In Advanced Melanoma
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:1/23/2017)... ... 23, 2017 , ... "ProRandom is a set of camera tools that allow video editors to ... Cut Pro X," said Christina Austin - CEO of Pixel Film Studios. , With ... with video footage. ProRandom works by using a virtual camera to create the illusion ...
(Date:1/23/2017)... ... January 23, 2017 , ... ... (OREF), in partnership with the American Society of Anesthesiologists® (ASA®), the Foundation ... the American Academy of Orthopaedic Surgeons (AAOS) and the Cigna Foundation, encourages ...
(Date:1/23/2017)... (PRWEB) , ... January 23, 2017 , ... “The Inn at the Mill”: a ... unexpected fears in her quest to become happy and content. , “The Inn at ... Pennsylvania, has also lived in Germany and Vermont and is now living in Berks County ...
(Date:1/23/2017)... ... January 23, 2017 , ... ... and resources at seafoodnutrition.org/programs and seafoodnutrition.org/resources to assist in teaching communities and ... resources have been developed for use by nutrition educators and influencers within ...
(Date:1/23/2017)... ... ... Infallible Characteristics of Christ”: a fascinating and entrancing novel exploring the gifts and ... author, Rev. Dr. Robert W. Thomas, the third of seven siblings. He was a ... pastor for over fifteen years. He is a graduate of N.C. College of Theology ...
Breaking Medicine News(10 mins):
(Date:1/23/2017)... Jan. 23, 2017 The Pharmacy Technician ... implementation of the planned 2020 accredited education requirement ... originally announced in 2013 that the requirement would ... road map of program changes designed to keep ... the pharmacy. "We have determined ...
(Date:1/23/2017)... Jan. 23, 2017 Endo International plc (NASDAQ ... (FTC) today filed a joint motion in the U.S. ... California seeking the entry of a ten-year ... all disputes between the FTC and Endo relating to ... with its Opana® ER and Lidoderm® products.  It also ...
(Date:1/23/2017)... YORK , Jan. 23, 2017 Consolidated ... Partners and Driving the Stability Testing Outsourcing Market ... market addresses market sizing, emerging trends, and technologies, and ... market. The base year is 2015 and forecasts are ... is expected to grow at a CAGR of 9.4% ...
Breaking Medicine Technology: