The Efficacy Analysis Of The Community-based Screening Program In The Consequences And Costs For Breast Cancer Treatment

Objective The purpose of this study was to analyze the age distribution, clinical stage, and treatment costs in patients who were diagnosed with breast cancer during the community-based screening programs. The characteristics and the differences in treatment costs of these breast cancer patients with different clinical stage were also explored. The data were collected from the community screening program and the medical records of all the breast patients who had been treated in hospitals in 2009. The results in this study would help to establish the strategy for early diagnosis and treatment of breast cancer. And the investigations would be recommended to the government to popularize the projects of early detection and treatment of breast cancer.Contents1. The analysis of the results of breast cancer screening program in community;2. The characteristics and clinical features of the patients who were diagnosed with breast cancer through the community screening.3. The assessment of clinical stage of breast cancer patients.4. The characteristics of the treatment costs of breast cancer.5. The characteristics and the differences in treatment costs of breast cancer patients with different clinical stage.6. The impact of the application of targeted bio-chemotherapy in costs of treating breast cancer.Methods We reviewed the correlation studies between the screening programs and the treatment costs of breast cancer at domestic and abroad. The screening and epidemiological data of breast cancer were summarized. The results of the community-based screening were described and discussed and the further correlation analysis was used to identify the features in costs of treating breast cancer with different clinical stage combined with the information of large samples in hospitals.Results and investigations The high detection rate of community-based screening project was found in this study. Meanwhile, the rate was affected by the detailed screening programs and if it was the first round screening in the community. So the suggestion was that we should pay more attention to the first round of screening in large population, and a screening program should be designed reasonably (according to the different ages, high-risk people, and screening techniques). All these interventions could help to increase the sensitivity and to maximize the cost-effectiveness of screening. The survival rates and quality of life of breast cancer patients were improved according to the high detection rates. As a result, the community-based screening project of breast cancer was beneficial to early diagnosis and early treatment for the patients and it was an important program with positive social significance.Significantly statistical differences were evidenced with different clinical stage of breast cancer in this study. Lower costs were spent in early staging patients than in advanced patients, mainly due to the difference in clinical expenditure of out-patient, and the little difference in in-patient costs. According to the structure of treatment costs, the main difference was the expenditure of western medicine and the radiation therapy was in the second, while the cost of surgery and bed fee were the same. Early diagnosis and early therapy of breast cancer have a real economic significance of reducing the burden of disease. With the development of modern bio-medical technology, targeted drugs (such as Trastuzumab) had a great impact on expenditure of treating breast cancer in this study. We should take such an influencing factor into account in the future study.Conclusion1. The first round of screening as well as the mammography and ultrasound could help to improve the detection rates of breast cancer.2. Community-based screening program was beneficial to diagnose more early stage breast cancer patients in order to improve the survival rate and quality of life. And it had far-reaching meanings.3. Lower costs were spent in early staging patients compared with the advanced patients, mainly due to the lower expenditure in out-patient costs, and the little difference in inpatient costs. According to the structure of treatment costs, the main difference was the expenditure of western medicine and the radiation therapy was in the second.4. With the development of modern bio-medical technology, the use of targeted drugs had a significant impact on expenditure of treating breast cancer.