{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T07:59:03Z","timestamp":1781251143121,"version":"3.54.1"},"reference-count":41,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100015747","name":"University Grants Commission of Bangladesh","doi-asserted-by":"publisher","award":["3\/73659"],"award-info":[{"award-number":["3\/73659"]}],"id":[{"id":"10.13039\/100015747","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the economic benefits of implementing an organized community-based screening program for oral, breast, and cervical cancers in rural Bangladesh.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cost\u2013benefit analysis was conducted over a one-year time horizon, with program costs estimated from the provider perspective and economic benefits assessed from the household perspective. Screening costs were estimated using primary data from a 2024 pilot implementation and extrapolated to all rural areas nationally. Economic benefits were defined as savings from averting late-stage cancer through early detection and included avoided direct medical and non-medical costs, income loss of patients and caregivers, and intangible benefits related to pain and distress. Benefit estimates were derived from a facility-based survey of 346 patients with oral, breast, or cervical cancer and extrapolated to the rural population using an incidence-based approach. Parameter uncertainty was assessed using one-way and probabilistic sensitivity analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The total annual cost of implementing the screening program in rural Bangladesh was estimated at US$69.02 million. Total annual economic benefits were estimated at US$106.77 million, yielding net benefits of US$37.76 million and a benefit\u2013cost ratio of 1.55. Probabilistic sensitivity analysis indicated a high likelihood of cost\u2013benefit, with 98.9% of simulations exceeding unity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>An organized community-based screening program for oral, breast, and cervical cancers in rural Bangladesh is economically favorable and robust to uncertainty, even under conservative benefit assumptions. The findings support a transition from opportunistic to organized screening in Bangladesh, and provide policy-relevant evidence for cancer control planning in other resource-constrained settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09691413261458098","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T13:31:32Z","timestamp":1781011892000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cost\u2013benefit analysis of an organized community-based multi-cancer screening program in Bangladesh"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9958-9414","authenticated-orcid":false,"given":"Md. 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