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Economic Evaluation of Oral Cancer Screening Programs: Review of Outcomes and Study Designs

A lack of guidance on economic evaluations for oral cancer screening programs forms a challenge for policymakers and researchers to fill the knowledge gap on their cost-effectiveness. This systematic review thus aims to compare the outcomes and design of such evaluations. A search for economic evalu...

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Autores principales: Raman, Sivaraj, Shafie, Asrul Akmal, Tan, Bee Ying, Abraham, Mannil Thomas, Chen Kiong, Shim, Cheong, Sok Ching
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10138408/
https://www.ncbi.nlm.nih.gov/pubmed/37108032
http://dx.doi.org/10.3390/healthcare11081198
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author Raman, Sivaraj
Shafie, Asrul Akmal
Tan, Bee Ying
Abraham, Mannil Thomas
Chen Kiong, Shim
Cheong, Sok Ching
author_facet Raman, Sivaraj
Shafie, Asrul Akmal
Tan, Bee Ying
Abraham, Mannil Thomas
Chen Kiong, Shim
Cheong, Sok Ching
author_sort Raman, Sivaraj
collection PubMed
description A lack of guidance on economic evaluations for oral cancer screening programs forms a challenge for policymakers and researchers to fill the knowledge gap on their cost-effectiveness. This systematic review thus aims to compare the outcomes and design of such evaluations. A search for economic evaluations of oral cancer screening was performed on Medline, CINAHL, Cochrane, PubMed, health technology assessment databases, and EBSCO Open Dissertations. The quality of studies was appraised using QHES and the Philips Checklist. Data abstraction was based on reported outcomes and study design characteristics. Of the 362 studies identified, 28 were evaluated for eligibility. The final six studies reviewed consisted of modeling approaches (n = 4), a randomized controlled trial (n = 1), and a retrospective observational study (n = 1). Screening initiatives were mostly shown to be cost-effective compared to non-screening. However, inter-study comparisons remained ambiguous due to large variations. The observational and randomized controlled trials provided considerably accurate evidence of implementation costs and outcomes. Modeling approaches, conversely, appeared more feasible for the estimation of long-term consequences and the exploration of strategy options. The current evidence of the cost-effectiveness of oral cancer screening remains heterogeneous and inadequate to support its institutionalization. Nevertheless, evaluations incorporating modeling methods may provide a practical and robust solution.
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spelling pubmed-101384082023-04-28 Economic Evaluation of Oral Cancer Screening Programs: Review of Outcomes and Study Designs Raman, Sivaraj Shafie, Asrul Akmal Tan, Bee Ying Abraham, Mannil Thomas Chen Kiong, Shim Cheong, Sok Ching Healthcare (Basel) Review A lack of guidance on economic evaluations for oral cancer screening programs forms a challenge for policymakers and researchers to fill the knowledge gap on their cost-effectiveness. This systematic review thus aims to compare the outcomes and design of such evaluations. A search for economic evaluations of oral cancer screening was performed on Medline, CINAHL, Cochrane, PubMed, health technology assessment databases, and EBSCO Open Dissertations. The quality of studies was appraised using QHES and the Philips Checklist. Data abstraction was based on reported outcomes and study design characteristics. Of the 362 studies identified, 28 were evaluated for eligibility. The final six studies reviewed consisted of modeling approaches (n = 4), a randomized controlled trial (n = 1), and a retrospective observational study (n = 1). Screening initiatives were mostly shown to be cost-effective compared to non-screening. However, inter-study comparisons remained ambiguous due to large variations. The observational and randomized controlled trials provided considerably accurate evidence of implementation costs and outcomes. Modeling approaches, conversely, appeared more feasible for the estimation of long-term consequences and the exploration of strategy options. The current evidence of the cost-effectiveness of oral cancer screening remains heterogeneous and inadequate to support its institutionalization. Nevertheless, evaluations incorporating modeling methods may provide a practical and robust solution. MDPI 2023-04-21 /pmc/articles/PMC10138408/ /pubmed/37108032 http://dx.doi.org/10.3390/healthcare11081198 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Raman, Sivaraj
Shafie, Asrul Akmal
Tan, Bee Ying
Abraham, Mannil Thomas
Chen Kiong, Shim
Cheong, Sok Ching
Economic Evaluation of Oral Cancer Screening Programs: Review of Outcomes and Study Designs
title Economic Evaluation of Oral Cancer Screening Programs: Review of Outcomes and Study Designs
title_full Economic Evaluation of Oral Cancer Screening Programs: Review of Outcomes and Study Designs
title_fullStr Economic Evaluation of Oral Cancer Screening Programs: Review of Outcomes and Study Designs
title_full_unstemmed Economic Evaluation of Oral Cancer Screening Programs: Review of Outcomes and Study Designs
title_short Economic Evaluation of Oral Cancer Screening Programs: Review of Outcomes and Study Designs
title_sort economic evaluation of oral cancer screening programs: review of outcomes and study designs
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10138408/
https://www.ncbi.nlm.nih.gov/pubmed/37108032
http://dx.doi.org/10.3390/healthcare11081198
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