Dr. Sabarinah Prasetyo
University of Indonesia, , IndonesiaTitle: Decision–analytic model to examine cost-effectiveness analysis of national breast cancer screening strategies in Indonesia
Abstract
Background: Breast cancer is the most diagnosed among Indonesian women. We identified the weakness of its early detection, diagnosis and treatment, which must be integrated and organized within healthcare structures. This study explored and developed a decision–analytic model to examine cost-effectiveness analysis of national breast cancer screening strategies in Indonesia.
Methods: Based on the result of systematic review, and exploration among stakeholders, a developed model incorporated the parameter ranges of disease progression, associated costs and health outcomes. Secondary data relevant to model development were collected through multiple sources in Indonesia. A decision-tree approach, combined with a Markov model of breast cancer natural history, aimed to synthesize the evidence of effectiveness and cost, with or without organized screening.
Result: the organized breast cancer screening yielded slightly higher quality-adjusted life years (QALYs) compared to opportunistic breast cancer screening (20.72 versus 20.10 QALYs) but was more expensive relative to the opportunistic strategy (US$ 19,340.44 versus US$ 14,562.94). The discounted incremental cost-effectiveness ratio (ICER) was US$ 7,727.88/QALY below the threshold of three times the Indonesian gross domestic product
(GDP) per capita, US$12 406.
Recommendation: We suggest a community-based early-detection programs when scaled up to a systematic screening program in Indonesia, albeit with limited resources.
Biography
Completed academic education in Medicine and Public Health in the Universitas Indonesia, Sabarinah Prasetyo is a faculty member since 1982. Her expertise in Health Research Methodology and Biostatistics leads her to deliver courses of Introduction to Public Health, Research Methodology, Biostatistics, and Quality of Reproductive Health Services to undergraduate and postgraduates students. Her experiences in health research range from Survey on Health Status, Quality of Health Services, and Communicable and Non-Communicable Diseases. Both long and devoted academic and practice records made her appointed as Director of the Centre for Health Research of FPHUI from 2004-2014 and Chair of Indonesia Epidemiology Network from 2009 to 2012. Additionally, in FPHUI, she had experiences as being the Vice Dean for Student Affair in 1999 to 2004, the Vice Dean for Academic, Research, and Students Affairs in 2014 to 2019, and as the Dean in 2019 to 2021. Since the last two years, she has been assigned as the Head of Study Group of Reproductive Health in FPHUI.
Organization Location
1309 Coffeen Avenue, STE 1200, Sheridan, Wyoming 82801, USA
Mail us at
Drop us an email for Program enquiry
breastcancer@scientexconferences.com
General Queries
contact@scientexconferences.com
Registration Enquiry
finance@scientexconferences.com
breastcancer@scientexevents.org
Our Social Presence
Call us at
Whatsapp :(+1) 914 520 5013