{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T22:24:39Z","timestamp":1793053479909,"version":"4.5.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"NHC Key Laboratory of Health Technology Assessment (Fudan University) (2023)."}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"DOI":"10.1186\/s12889-024-20867-1","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T19:38:49Z","timestamp":1737488329000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparing the cost-benefit of breast cancer screening programs in rural and urban areas across four economic zones in China: a Markov modeling analysis"],"prefix":"10.1186","volume":"25","author":[{"given":"Dachuang","family":"Zhou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kejia","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjuan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanqiao","family":"Shao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongliu","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenxi","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"issue":"1130","key":"20867_CR1","doi-asserted-by":"publisher","first-page":"20211033","DOI":"10.1259\/bjr.20211033","volume":"95","author":"L Wilkinson","year":"2022","unstructured":"Wilkinson L, Gathani T. Understanding breast cancer as a global health concern. Br J Radiol. 2022;95(1130):20211033.","journal-title":"Br J Radiol"},{"issue":"11","key":"20867_CR2","doi-asserted-by":"publisher","first-page":"1183","DOI":"10.1002\/cac2.12207","volume":"41","author":"S Lei","year":"2021","unstructured":"Lei S, Zheng R, Zhang S, Wang S, Chen R, Sun K, Zeng H, Zhou J, Wei W. Global patterns of breast cancer incidence and mortality: a population-based cancer registry data analysis from 2000 to 2020. Cancer commun. 2021;41(11):1183\u201394.","journal-title":"Cancer commun"},{"issue":"10","key":"20867_CR3","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1001\/jama.293.10.1245","volume":"293","author":"JG Elmore","year":"2005","unstructured":"Elmore JG, Armstrong K, Lehman CD, Fletcher SW. Screening for breast cancer. Jama-j am med assoc. 2005;293(10):1245\u201356.","journal-title":"JAMA-J AM MED ASSOC"},{"key":"20867_CR4","doi-asserted-by":"crossref","unstructured":"Coleman C. Early detection and screening for breast cancer. In: 2017-1-1 2017. Elsevier; 2017. pp. 141\u201355.","DOI":"10.1016\/j.soncn.2017.02.009"},{"issue":"15","key":"20867_CR5","doi-asserted-by":"publisher","first-page":"321","DOI":"10.46234\/ccdcw2023.062","volume":"5","author":"M Zhang","year":"2023","unstructured":"Zhang M, Bao H, Zhang X, Huang Z, Zhao Z, Li C, Zhou M, Wu J, Wang L, Wang L. Breast cancer screening coverage\u2014China, 2018\u20132019. CHINA CDC Wkly. 2023;5(15):321.","journal-title":"CHINA CDC Wkly"},{"issue":"2","key":"20867_CR6","first-page":"822","volume":"16","author":"AA China","year":"2019","unstructured":"China AA. Breast cancer screening guideline for Chinese women. CANCER BIOL MED. 2019;16(2):822.","journal-title":"CANCER BIOL MED"},{"issue":"2","key":"20867_CR7","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1038\/s41591-020-01174-9","volume":"27","author":"W Lotter","year":"2021","unstructured":"Lotter W, Diab AR, Haslam B, Kim JG, Grisot G, Wu E, Wu K, Onieva JO, Boyer Y, Boxerman JL. Robust breast cancer detection in mammography and digital breast tomosynthesis using an annotation-efficient deep learning approach. NAT MED. 2021;27(2):244\u20139.","journal-title":"NAT MED"},{"issue":"4","key":"20867_CR8","doi-asserted-by":"publisher","first-page":"1393","DOI":"10.1007\/s12325-023-02450-z","volume":"40","author":"J Jiang","year":"2023","unstructured":"Jiang J, Jiang S, Ahumada-Canale A, Chen Z, Si L, Jiang Y, Yang L, Gu Y. Breast cancer screening should embrace precision medicine: evidence by reviewing economic evaluations in China. Adv ther. 2023;40(4):1393\u2013417.","journal-title":"Adv ther"},{"issue":"4","key":"20867_CR9","doi-asserted-by":"publisher","first-page":"620","DOI":"10.1111\/1468-2427.00105","volume":"21","author":"CC Fan","year":"1997","unstructured":"Fan CC. Uneven development and beyond: regional development theory in Post-mao China. Int J Urban reg. 1997;21(4):620\u201339.","journal-title":"Int J Urban reg"},{"issue":"1","key":"20867_CR10","doi-asserted-by":"publisher","first-page":"1155","DOI":"10.1186\/s12889-023-15945-9","volume":"23","author":"Z Wang","year":"2023","unstructured":"Wang Z, Ye W, Chen X, Li Y, Zhang L, Li F, Yao N, Gao C, Wang P, Yi D. Spatio-temporal pattern, matching level and prediction of ageing and medical resources in China. BMC Public Health. 2023;23(1):1155.","journal-title":"BMC Public Health"},{"issue":"2","key":"20867_CR11","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1016\/j.jval.2013.02.002","volume":"16","author":"D Husereau","year":"2013","unstructured":"Husereau D, Drummond M, Petrou S, Carswell C, Moher D, Greenberg D, Augustovski F, Briggs AH, Mauskopf J, Loder E. Consolidated health economic evaluation reporting standards (CHEERS)\u2014explanation and elaboration: a report of the ISPOR health economic evaluation publication guidelines good reporting practices task force. Value health. 2013;16(2):231\u201350.","journal-title":"Value health"},{"issue":"3","key":"20867_CR12","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1097\/IJG.0b013e31814b9693","volume":"17","author":"R Hern\u00e1ndez","year":"2008","unstructured":"Hern\u00e1ndez R, Rabindranath K, Fraser C, Vale L, Blanco AA, Burr JM. OAG SPG: screening for open angle glaucoma: systematic review of cost-effectiveness studies. J Glaucoma. 2008;17(3):159\u201368.","journal-title":"J Glaucoma"},{"key":"20867_CR13","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1007\/s00428-018-2301-9","volume":"472","author":"G Cserni","year":"2018","unstructured":"Cserni G, Chmielik E, Cserni B, Tot T. The new TNM-based staging of breast cancer. Virchows arch. 2018;472:697\u2013703.","journal-title":"Virchows arch"},{"key":"20867_CR14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s11912-019-0777-3","volume":"21","author":"LJ Solin","year":"2019","unstructured":"Solin LJ. Management of ductal carcinoma in situ (DCIS) of the breast: present approaches and future directions. Curr oncol rep. 2019;21:1\u20138.","journal-title":"Curr oncol rep"},{"key":"20867_CR15","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1007\/s10549-017-4636-3","volume":"168","author":"K Kostev","year":"2018","unstructured":"Kostev K, Kalder M. 20-year risk of breast cancer recurrence. Breast cancer res tr. 2018;168:765\u20136.","journal-title":"Breast cancer res tr"},{"key":"20867_CR16","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.breast.2022.04.003","volume":"64","author":"W Ren","year":"2022","unstructured":"Ren W, Chen M, Qiao Y, Zhao F. Global guidelines for breast cancer screening: a systematic review. Breast. 2022;64:85\u201399.","journal-title":"Breast"},{"issue":"7","key":"20867_CR17","doi-asserted-by":"publisher","first-page":"e0220148","DOI":"10.1371\/journal.pone.0220148","volume":"14","author":"L Li","year":"2019","unstructured":"Li L, Severens JL, Mandrik O. Disutility associated with cancer screening programs: a systematic review. Plos one. 2019;14(7):e0220148.","journal-title":"Plos one"},{"issue":"12","key":"20867_CR18","first-page":"946","volume":"35","author":"H Li","year":"2013","unstructured":"Li H, Huang Y, Huang R, Li JY. Standard treatment cost of female breast cancer at different TNM stages. Zhonghua Zhong Liu Za Zhi [Chinese Journal of Oncology]. 2013;35(12):946\u201350.","journal-title":"Zhonghua Zhong Liu Za Zhi [Chinese Journal of Oncology]"},{"issue":"3","key":"20867_CR19","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1111\/ajco.12703","volume":"14","author":"XZ Liao","year":"2018","unstructured":"Liao XZ, Shi JF, Liu JS, Huang HY, Guo LW, Zhu XY, Xiao HF, Wang L, Bai YN, Liu GX. Medical and non-medical expenditure for breast cancer diagnosis and treatment in China: a multicenter cross\u2010sectional study. Asia\u2010Pacific J Clin Oncol. 2018;14(3):167\u201378.","journal-title":"Asia\u2010Pacific J Clin Oncol"},{"key":"20867_CR20","doi-asserted-by":"crossref","unstructured":"Li R, Yang Z, Zhang Y, Bai W, Du Y, Sun R, Tang J, Wang N, Liu H. Cost-effectiveness and cost-utility of traditional and telemedicine combined population-based age-related macular degeneration and diabetic retinopathy screening in rural and urban China. Lancet Reg Health\u2013Western Pac 2022, 23.","DOI":"10.1016\/j.lanwpc.2022.100435"},{"issue":"2","key":"20867_CR21","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1016\/S0167-6296(01)00130-8","volume":"21","author":"J Brazier","year":"2002","unstructured":"Brazier J, Roberts J, Deverill M. The estimation of a preference-based measure of health from the SF-36. J Health econ. 2002;21(2):271\u201392.","journal-title":"J Health econ"},{"key":"20867_CR22","unstructured":"Qin C, Li J, Zheng Y, Wang F, Cao W, Xu Y, Yu Y, Zhao L, Yu X, Chen H. Analysis of screening compliance and related factors in high-risk populations of breast cancer in Chinese cities. 2021."},{"key":"20867_CR23","doi-asserted-by":"publisher","first-page":"17544325","DOI":"10.1177\/17588359211010939","volume":"13","author":"B Dong","year":"2021","unstructured":"Dong B, Zou H, Mao X, Su Y, Gao H, Xie F, Lv Y, Chen Y, Kang Y, Xue H. Effect of introducing human papillomavirus genotyping into real-world screening on cervical cancer screening in China: a retrospective population-based cohort study. THER ADV MED ONCOL. 2021;13:17544325.","journal-title":"THER ADV MED ONCOL"},{"key":"20867_CR24","doi-asserted-by":"crossref","unstructured":"Zhou S, Zou G, Chen X, Yu H, Wang J, Fang P, Song F. Educational attainment and mortality: results from the sixth population census in China. J GLOB HEALTH 2019, 9(2).","DOI":"10.7189\/jogh.09.020604"},{"key":"20867_CR25","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.vhri.2019.05.003","volume":"21","author":"Y Huang","year":"2020","unstructured":"Huang Y, Li Q, Torres-Rueda S, Li J. The structure and parameterization of the breast cancer transition model among Chinese women. Value health reg iss. 2020;21:29\u201338.","journal-title":"Value health reg iss"},{"key":"20867_CR26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1478-7547-1-1","volume":"1","author":"R Hutubessy","year":"2003","unstructured":"Hutubessy R, Chisholm D, Edejer TT, Who-choice. Generalized cost-effectiveness analysis for national-level priority-setting in the health sector. Cost effect resour a. 2003;1:1\u201313.","journal-title":"Cost effect resour a"},{"key":"20867_CR27","doi-asserted-by":"crossref","unstructured":"Mahony O JF. Does cost-effectiveness analysis really need to abandon the incremental cost-effectiveness ratio to embrace net benefit? PharmacoEconomics. 2020;38(8):777\u20139.","DOI":"10.1007\/s40273-020-00931-5"},{"key":"20867_CR28","doi-asserted-by":"publisher","first-page":"e36","DOI":"10.1016\/j.ejim.2017.05.015","volume":"43","author":"S Trippoli","year":"2017","unstructured":"Trippoli S. Incremental cost-effectiveness ratio and net monetary benefit: current use in pharmacoeconomics and future perspectives. Eur J intern med. 2017;43:e36.","journal-title":"Eur J Intern med"},{"key":"20867_CR29","doi-asserted-by":"publisher","first-page":"479","DOI":"10.2165\/00019053-200017050-00006","volume":"17","author":"AH Briggs","year":"2000","unstructured":"Briggs AH. Handling uncertainty in cost-effectiveness models. PharmacoEconomics. 2000;17:479\u2013500.","journal-title":"PharmacoEconomics"},{"key":"20867_CR30","doi-asserted-by":"crossref","unstructured":"Briggs A. Probabilistic analysis of cost-effectiveness models: statistical representation of parameter uncertainty. Value health 2005, 8(1).","DOI":"10.1111\/j.1524-4733.2005.08101.x"},{"issue":"10","key":"20867_CR31","doi-asserted-by":"publisher","first-page":"2596","DOI":"10.1002\/ijc.31956","volume":"144","author":"L Sun","year":"2019","unstructured":"Sun L, Sadique Z, Dos Santos Silva I, Yang L, Legood R. Cost-effectiveness of breast cancer screening programme for women in rural China. Int J cancer. 2019;144(10):2596\u2013604.","journal-title":"Int J Cancer"},{"issue":"6","key":"20867_CR32","doi-asserted-by":"publisher","first-page":"582","DOI":"10.1093\/jnci\/djz184","volume":"112","author":"KP Lowry","year":"2020","unstructured":"Lowry KP, Trentham-Dietz A, Schechter CB, Alagoz O, Barlow WE, Burnside ES, Conant EF, Hampton JM, Huang H, Kerlikowske K. Long-term outcomes and cost-effectiveness of breast cancer screening with digital breast tomosynthesis in the United States. jnci: j natl cancer inst. 2020;112(6):582\u20139.","journal-title":"Jnci: J Natl Cancer Inst"},{"issue":"3","key":"20867_CR33","doi-asserted-by":"publisher","first-page":"772","DOI":"10.1148\/radiol.14141237","volume":"274","author":"CI Lee","year":"2015","unstructured":"Lee CI, Cevik M, Alagoz O, Sprague BL, Tosteson AN, Miglioretti DL, Kerlikowske K, Stout NK, Jarvik JG, Ramsey SD. Comparative effectiveness of combined digital mammography and tomosynthesis screening for women with dense breasts. Radiology. 2015;274(3):772\u201380.","journal-title":"Radiology"}],"container-title":["BMC Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-024-20867-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12889-024-20867-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-024-20867-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T19:39:06Z","timestamp":1737488346000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-024-20867-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,21]]},"references-count":33,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["20867"],"URL":"https:\/\/doi.org\/10.1186\/s12889-024-20867-1","relation":{},"ISSN":["1471-2458"],"issn-type":[{"value":"1471-2458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,21]]},"assertion":[{"value":"15 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 November 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable. This was a cost-effectiveness analysis based on publicly available data, and the ethical statement was not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"256"}}