{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T19:40:13Z","timestamp":1760298013172},"reference-count":58,"publisher":"American Public Health Association","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1997,7]]},"abstract":"<jats:p> OBJECTIVES: This study assessed the cost-effectiveness of cervix and breast cancer screening in a public hospital emergency room. METHODS: Age-eligible women with nonurgent conditions and without recent screening were offered screening by a nurse. A decision analysis compared the costs and outcomes of emergency room screening and standard hospital screening efforts. RESULTS: The undiscounted cost-effectiveness results for establishing new programs were $4050 (cervical cancer), $403,203 (breast cancer), and $4375 (joint cervix and breast cancer) per year of life saved. If screening is added to an existing program, results are more favorable ($429, $21,324, and $479 per year of life saved for cervix, breast, and joint screening, respectively). Results were most sensitive to volume and probability of receiving treatment after an abnormal screen. CONCLUSIONS: Emergency room screening was cost-effective for cervical cancer; breast cancer screening was relatively expensive given the low number of women reached. More intensive recruitment and follow-up strategies are needed to maximize the cost-effectiveness of such programs. <\/jats:p>","DOI":"10.2105\/ajph.87.7.1182","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:30:23Z","timestamp":1227965423000},"page":"1182-1189","source":"Crossref","is-referenced-by-count":30,"title":["The costs and effects of cervical and breast cancer screening in a public hospital emergency room. The Cancer Control Center of Harlem."],"prefix":"10.2105","volume":"87","author":[{"given":"J","family":"Mandelblatt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Freeman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Winczewski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Cagney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Trowers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Gold","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T H","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Kerner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1988.00380050181026"},{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.79.1.21"},{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.83.3.372"},{"key":"p_5","first-page":"389","volume":"24","author":"Haddy R","year":"1987","journal-title":"J Fain Pract."},{"key":"p_6","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-197802000-00004"},{"key":"p_7","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)80832-7"},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)80835-2"},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-197512000-00003"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1994.03510480033030"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(87)80012-4"},{"key":"p_12","doi-asserted-by":"crossref","unstructured":"Kaazuba AL, Matenoaki G, Gibson G. Evaluation of the emergency department as a site for hypertension screening. JAm Coll Einerg Physicians. 1978;7:51-55.","DOI":"10.1016\/S0361-1124(78)80036-7"},{"key":"p_13","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1987.00370110127019"},{"key":"p_14","doi-asserted-by":"publisher","DOI":"10.1007\/BF02598962"},{"key":"p_15","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)82931-2"},{"key":"p_16","unstructured":"Marcus AC, Crane LA, Kaplan DP, Goodman KJ, Savage E, Gunning J. Screening for cervical cancer in emergency centers and sexually transmitted disease clinics. Obstet GC!necol. 1990;75:453-455."},{"key":"p_17","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(88)80330-5"},{"key":"p_18","unstructured":"Sox HC, Blatt MA, Higgins MC, Marton KI. Medical Decision Making. Boston, Mass: Butterworth-Heinemann; 1988:319-326."},{"key":"p_19","unstructured":"Weinstein MC, Feinberg HV, Elstein AS, eds. Clinical Decision Analysis. Philadelphia, Pa: WB Saunders Co; 1980."},{"key":"p_20","first-page":"149","volume":"49","author":"Kassirer JP","year":"1976","journal-title":"Yale J Biol Med."},{"key":"p_21","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.38.2.127"},{"key":"p_22","first-page":"1","volume":"5","author":"Boyes DA","year":"1982","journal-title":"Clin Invest Med."},{"key":"p_23","doi-asserted-by":"publisher","DOI":"10.2307\/3342017"},{"key":"p_24","unstructured":"Muller CM, Mandelblatt J, Schechter C. The Costs and Effectiveness of Screening for Cervical Caancer in Elderlv Women. Washington, DC: Office of Technology Assessment; 1990."},{"key":"p_25","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(69)90268-3"},{"key":"p_26","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(74)90013-1"},{"key":"p_27","first-page":"273","volume":"39","author":"Baines CJ","year":"1988","journal-title":"Can Assoc Radiol J."},{"key":"p_28","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.297.6654.943"},{"key":"p_29","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(85)92204-4"},{"key":"p_30","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-103-1-143"},{"key":"p_31","doi-asserted-by":"crossref","unstructured":"Herbsman H, Feldman J, Seldera J, Gardner B, Alfonso AE. Survival following breast cancer surgery in the elderly. Canc-er 1981 ;47:2358-2363.","DOI":"10.1002\/1097-0142(19810515)47:10<2358::AID-CNCR2820471006>3.0.CO;2-K"},{"key":"p_32","first-page":"139","volume":"8","author":"Tumbull AD","year":"1978","journal-title":"Clin Bull."},{"key":"p_33","unstructured":"Canicer Statistics Review 1973-1987. Bethesda, Md: US Dept of Health and Human Services; 1990. NIH publication 90-2789."},{"key":"p_34","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.32.4.194"},{"key":"p_35","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.72.10.1142"},{"key":"p_36","first-page":"349","volume":"69","author":"Shapiro S","year":"1982","journal-title":"J Natl Cancer Inst."},{"key":"p_37","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(82)90786-0"},{"key":"p_38","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(82)90787-2"},{"key":"p_39","unstructured":"Expectation of life and expected deaths, by race, sex, and age: 1989. In: Statistical Abstract of the United States. 12th ed. Washington, DC: National Center for Health Services; 1992."},{"key":"p_40","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-113-3-214"},{"key":"p_41","doi-asserted-by":"publisher","DOI":"10.1007\/BF00662136"},{"key":"p_42","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.2910490410"},{"key":"p_43","unstructured":"Clarke PR, Fraser NM. Economic Analysis of Screening for Breast Cancer-Final Report. Edinburgh, Scotland: Scottish Home and Health Dept; 1991."},{"key":"p_44","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1983.03330470029026"},{"key":"p_45","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198009043031004"},{"key":"p_46","unstructured":"Eddy D. Breast Cancer Screening for Medicare Beneficiaries. Washington, DC: Office of Technology Assessment; 1987."},{"key":"p_47","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19931215)72:12<3636::AID-CNCR2820721214>3.0.CO;2-Y"},{"key":"p_48","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.80.1.85"},{"key":"p_49","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199203000-00004"},{"key":"p_50","doi-asserted-by":"publisher","DOI":"10.1016\/0091-7435(85)90040-4"},{"key":"p_51","doi-asserted-by":"publisher","DOI":"10.1016\/0091-7435(90)90060-W"},{"key":"p_52","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.299.6692.160"},{"key":"p_53","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-198507000-00003"},{"key":"p_54","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197010222831705"},{"key":"p_55","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1985.00360120052008"},{"key":"p_56","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198305000-00012"},{"key":"p_57","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19920401)69:7+<1979::AID-CNCR2820691719>3.0.CO;2-C"},{"key":"p_58","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X8300300403"},{"key":"p_59","unstructured":"Morrison AS. Screening in Chronic Disease. 2nd ed. New York, NY: Oxford University Press Inc; 1992."}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.87.7.1182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T20:53:38Z","timestamp":1652129618000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.87.7.1182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,7]]},"references-count":58,"journal-issue":{"issue":"7","published-print":{"date-parts":[[1997,7]]}},"alternative-id":["10.2105\/AJPH.87.7.1182"],"URL":"https:\/\/doi.org\/10.2105\/ajph.87.7.1182","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,7]]}}}