{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T07:00:45Z","timestamp":1789887645088,"version":"4.0.1"},"reference-count":28,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:00:00Z","timestamp":1772582400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["valuehealthregionalissues.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Value in Health Regional Issues"],"published-print":{"date-parts":[[2027,1]]},"DOI":"10.1016\/j.vhri.2026.101627","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T11:33:49Z","timestamp":1775129629000},"page":"101627","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Core Needle Biopsy Versus Fine-Needle Aspiration for Lymph Node Evaluation in Breast Cancer: Diagnostic Accuracy and Cost Analysis in a Public Health System"],"prefix":"10.1016","volume":"57","author":[{"given":"Marina Diogenes","family":"Teixeira","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Antonini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Mattar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco Pimentel","family":"Cavalcante","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe","family":"Zerwes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabricio Palermo","family":"Brenelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Luis","family":"Frasson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo Camargo","family":"Millen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gil","family":"Facina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reginaldo Guedes Coelho","family":"Lopes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrique Lima","family":"Couto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina Monteiro","family":"Rondelo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata","family":"Arakelian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitoria Rassi","family":"Mahamed Rocha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa","family":"Chrispim de Oliveira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Madeira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Henrique","family":"Gebrim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas Miyake","family":"Okumura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patr\u00edcia Carvalho","family":"Baruel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.vhri.2026.101627_bib1","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1038\/s41591-025-03502-3","article-title":"Global patterns and trends in breast cancer incidence and mortality across 185 countries","volume":"31","author":"Kim","year":"2025","journal-title":"Nat Med"},{"issue":"5","key":"10.1016\/j.vhri.2026.101627_bib2","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1016\/S1470-2045(21)00071-1","article-title":"The Global Breast Cancer Initiative: a strategic collaboration to strengthen health care for non-communicable diseases","volume":"22","author":"Anderson","year":"2021","journal-title":"Lancet Oncol"},{"issue":"1","key":"10.1016\/j.vhri.2026.101627_bib3","first-page":"17","article-title":"Cancer statistics, 2023","volume":"73","author":"Siegel","year":"2023","journal-title":"CA Cancer J Clin"},{"issue":"1","key":"10.1016\/j.vhri.2026.101627_bib4","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1186\/s12913-024-11222-6","article-title":"Health care accessibility and mobility in breast cancer: a Latin American perspective","volume":"24","author":"Azeredo-da-Silva","year":"2024","journal-title":"BMC Health Serv Res"},{"issue":"10","key":"10.1016\/j.vhri.2026.101627_bib5","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.18790","article-title":"Regional lymph node involvement among patients with de novo metastatic breast cancer","volume":"3","author":"Bitencourt","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"4","key":"10.1016\/j.vhri.2026.101627_bib6","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.clbc.2023.12.007","article-title":"Recent advances in the upfront surgical management of the axilla in patients with breast cancer","volume":"24","author":"Williams","year":"2024","journal-title":"Clin Breast Cancer"},{"key":"10.1016\/j.vhri.2026.101627_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.breast.2025.104453","article-title":"CADONOT: comparing axillary dissection or not in breast cancer surgery","volume":"81","author":"Mattar","year":"2025","journal-title":"Breast"},{"issue":"10","key":"10.1016\/j.vhri.2026.101627_bib8","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1016\/S1470-2045(10)70207-2","article-title":"Sentinel-lymph-node resection compared with conventional axillary-lymph-node dissection in clinically node-negative patients with breast cancer: overall survival findings from the NSABP B-32 randomised phase 3 trial","volume":"11","author":"Krag","year":"2010","journal-title":"Lancet Oncol"},{"issue":"2","key":"10.1016\/j.vhri.2026.101627_bib9","doi-asserted-by":"crossref","first-page":"e231","DOI":"10.1634\/theoncologist.2019-0427","article-title":"Lymph node imaging in patients with primary breast cancer: concurrent diagnostic tools","volume":"25","author":"Marino","year":"2020","journal-title":"Oncologist"},{"issue":"1","key":"10.1016\/j.vhri.2026.101627_bib10","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/S0360-3016(98)00424-6","article-title":"The link between local recurrence and distant metastases in human breast cancer","volume":"43","author":"Koscielny","year":"1999","journal-title":"Int J Radiat Oncol Biol Phys"},{"issue":"4","key":"10.1016\/j.vhri.2026.101627_bib11","doi-asserted-by":"crossref","first-page":"174","DOI":"10.14218\/OnA.2024.00027","article-title":"Receptor discordance between primary and recurrent breast cancer: a systematic literature review","volume":"2","author":"Haria","year":"2024","journal-title":"Oncol Adv"},{"issue":"10","key":"10.1016\/j.vhri.2026.101627_bib12","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.1002\/bjs.10920","article-title":"Meta-analysis of the diagnostic accuracy of ultrasound-guided fine-needle aspiration and core needle biopsy in diagnosing axillary lymph node metastasis","volume":"105","author":"Balasubramanian","year":"2018","journal-title":"Br J Surg"},{"key":"10.1016\/j.vhri.2026.101627_bib13","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.breast.2016.11.009","article-title":"A sensitivity and specificity comparison of fine needle aspiration cytology and core needle biopsy in evaluation of suspicious breast lesions: a systematic review and meta-analysis","volume":"31","author":"Wang","year":"2017","journal-title":"Breast"},{"issue":"1","key":"10.1016\/j.vhri.2026.101627_bib14","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1148\/radiol.13122637","article-title":"Axillary lymph node biopsy in newly diagnosed invasive breast cancer: comparative accuracy of fine-needle aspiration biopsy versus core-needle biopsy","volume":"269","author":"Rautiainen","year":"2013","journal-title":"Radiology"},{"issue":"1","key":"10.1016\/j.vhri.2026.101627_bib15","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1245\/s10434-017-6090-1","article-title":"Pre-operative axillary ultrasound-guided needle sampling in breast cancer: comparing the sensitivity of fine needle aspiration cytology and core needle biopsy","volume":"25","author":"Topps","year":"2018","journal-title":"Ann Surg Oncol"},{"issue":"9596","key":"10.1016\/j.vhri.2026.101627_bib16","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"370","author":"von Elm","year":"2007","journal-title":"Lancet"},{"issue":"1","key":"10.1016\/j.vhri.2026.101627_bib17","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1046\/j.1524-4733.2003.00234.x","article-title":"Principles of good practice for decision analytic modeling in health-care evaluation: report of the ISPOR Task Force on Good Research Practices--Modeling Studies","volume":"6","author":"Weinstein","year":"2003","journal-title":"Value Health"},{"issue":"1","key":"10.1016\/j.vhri.2026.101627_bib18","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.jval.2021.11.1351","article-title":"Consolidated health economic evaluation reporting standards 2022 (CHEERS 2022) statement: updated reporting guidance for health economic evaluations","volume":"25","author":"Husereau","year":"2022","journal-title":"Value Health"},{"key":"10.1016\/j.vhri.2026.101627_bib19","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.f1049","article-title":"Consolidated health economic evaluation reporting standards (CHEERS) statement","volume":"346","author":"Husereau","year":"2013","journal-title":"Bmj"},{"issue":"2","key":"10.1016\/j.vhri.2026.101627_bib20","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1111\/his.14091","article-title":"The 2019 World Health Organization classification of tumours of the breast","volume":"77","author":"Tan","year":"2020","journal-title":"Histopathology"},{"key":"10.1016\/j.vhri.2026.101627_bib21","series-title":"Breast Imaging Reporting and Data System. Treasure Island, FL","author":"Magny","year":"2025"},{"key":"10.1016\/j.vhri.2026.101627_bib23","doi-asserted-by":"crossref","DOI":"10.1016\/j.clinsp.2023.100207","article-title":"The effectiveness of ultrasound-guided core needle biopsy in detecting lymph node metastases in the axilla in patients with breast cancer: systematic review and meta-analysis","volume":"78","author":"Xu","year":"2023","journal-title":"Clinics (Sao Paulo)"},{"issue":"2","key":"10.1016\/j.vhri.2026.101627_bib24","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1097\/SLA.0b013e31821f1564","article-title":"Preoperative ultrasound-guided needle biopsy of axillary nodes in invasive breast cancer: meta-analysis of its accuracy and utility in staging the axilla","volume":"254","author":"Houssami","year":"2011","journal-title":"Ann Surg"},{"issue":"1","key":"10.1016\/j.vhri.2026.101627_bib25","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1186\/s12885-017-3443-x","article-title":"Clinically node negative breast cancer patients undergoing breast conserving therapy, sentinel lymph node procedure versus follow-up: a Dutch randomized controlled multicentre trial (BOOG 2013-08)","volume":"17","author":"van Roozendaal","year":"2017","journal-title":"BMC Cancer"},{"issue":"7","key":"10.1016\/j.vhri.2026.101627_bib26","doi-asserted-by":"crossref","first-page":"2700","DOI":"10.1007\/s12325-024-02893-y","article-title":"Direct and indirect costs of breast cancer and associated implications: a systematic review","volume":"41","author":"Franklin","year":"2024","journal-title":"Adv Ther"},{"issue":"5","key":"10.1016\/j.vhri.2026.101627_bib27","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0301378","article-title":"An assessment of the direct and indirect costs of breast cancer treatment in leading cancer hospitals in Ghana","volume":"19","author":"Okyere Asante","year":"2024","journal-title":"PLoS One"},{"issue":"10","key":"10.1016\/j.vhri.2026.101627_bib28","article-title":"Breast cancer: the psychological impact of diagnosis, treatment, and remission","volume":"16","author":"Graham","year":"2024","journal-title":"Cureus"},{"issue":"8","key":"10.1016\/j.vhri.2026.101627_bib29","doi-asserted-by":"crossref","first-page":"1548","DOI":"10.1038\/s41416-023-02156-7","article-title":"Psychological impact of risk-stratified screening as part of the NHS Breast Screening Programme: multi-site non-randomised comparison of BC-Predict versus usual screening (NCT04359420)","volume":"128","author":"French","year":"2023","journal-title":"Br J Cancer"}],"container-title":["Value in Health Regional Issues"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212109926000427?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212109926000427?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T06:10:29Z","timestamp":1789884629000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2212109926000427"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2027,1]]},"references-count":28,"alternative-id":["S2212109926000427"],"URL":"https:\/\/doi.org\/10.1016\/j.vhri.2026.101627","relation":{},"ISSN":["2212-1099"],"issn-type":[{"value":"2212-1099","type":"print"}],"subject":[],"published":{"date-parts":[[2027,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Core Needle Biopsy Versus Fine-Needle Aspiration for Lymph Node Evaluation in Breast Cancer: Diagnostic Accuracy and Cost Analysis in a Public Health System","name":"articletitle","label":"Article Title"},{"value":"Value in Health Regional Issues","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.vhri.2026.101627","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc. on behalf of International Society for Pharmacoeconomics and Outcomes Research, Inc.","name":"copyright","label":"Copyright"}],"article-number":"101627"}}