Estimating the impact of increasing cervical cancer screening in the National Breast and Cervical Cancer Early Detection Program among low-income women in the USA

Lisa M. Pollack, Donatus U. Ekwueme, Mei Chuan Hung, Jacqueline W. Miller, Su Hsin Chang

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Purpose: The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides free cervical cancer screening to low-income women. This study estimated the health benefits gained in terms of life years (LYs) saved and quality-adjusted life years (QALYs) gained if cervical cancer screening by the NBCCEDP increased to reach more eligible women. Methods: Data from Surveillance, Epidemiology, and End Results, NBCCEDP, and Medical Expenditure Panel Surveys were used. LYs saved and QALYs gained/100,000 women were estimated using modeling methods. They were used to predict additional health benefits gained if screening by the NBCCEDP increased from 6.5% up to 10–25% of the eligible women. Results: Overall, per 100,000 women screened by the NBCCEDP, 1,731 LYs were saved and 1,608 QALYs were gained. For white women, 1,926 LYs were saved and 1,780 QALYs were gained/100,000 women screened by the NBCCEDP. For black women, 1,506 LYs were saved and 1,300 QALYs were gained/100,000 women screened. If the proportion of eligible women screened by the NBCCEDP increased to 10–25%, the estimated health benefits would range from 6,626–34,896 LYs saved and 6,153–32,407 QALYs gained. Conclusions: The reported estimates emphasize the value of cervical cancer screening program by extending LE in low-income women. Further, it demonstrates that screening a higher percentage of eligible women in the NBCCEDP may yield more health benefits.

Original languageEnglish
Pages (from-to)691-702
Number of pages12
JournalCancer Causes and Control
Volume31
Issue number7
DOIs
StatePublished - Jul 1 2020

Keywords

  • Cervical cancer
  • Low-income
  • National Breast and Cervical Cancer Early Detection Program (NBCCEDP)
  • Screening

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