Cost-effectiveness of cervical cancer screening programs for Russia - PowerPoint PPT Presentation

1 / 26
About This Presentation
Title:

Cost-effectiveness of cervical cancer screening programs for Russia

Description:

Title: Cost-effectiveness of cervical cancer screening programs for Russia Author: FIC Last modified by: WBG User Created Date: 5/13/2002 4:41:11 PM – PowerPoint PPT presentation

Number of Views:506
Avg rating:3.0/5.0
Slides: 27
Provided by: FIC64
Category:

less

Transcript and Presenter's Notes

Title: Cost-effectiveness of cervical cancer screening programs for Russia


1
?????????????????? ?????? ? ??????
????????????? ????????????? ????????? ???? ?????
????? ? ??????
??????????? ??????? ?. ????????
2
???? ???????
  • ???????? ???????????? ?????? ? ?????????
    ???????????? ????????? ????????? ???? ????? ?????
    ? ??????, ??????????? ???????? ??????
    ????????????? ????????????? ????????????? ?
    ?????????????? ????????, ??? ????, ?????
    ????????????? ??????????? ? ?????????? ?????
    ????????? ?????????

????????????? ?????? ???????? ????????? ????
????? ????? ? ??????.
3
??????
  1. ??????? ????????????? ???? ????? ????? ? ??????
  2. ??????? ??????? ???????? ?? ? ????????? ?????????
    ???? ????? ?????
  3. ???????????????? ???????????? ?????????????? ?
    ????????? ???????
  4. ?????? ???????, ???????? ?? ?????????? ?????????
    ? ??????
  5. ???????? ?????? ?????? ?????????????
    ????????????? ???????????? ? ?????????????
    ???????? ????????? ???
  6. ??????????? ????????????, ?????????? ?? ?????????
    ????????????? ???????? ??? ????????????? ?????? ?
    ??????????????????? ??????????? ??? ?????????
    ????????? ???? ????? ????? ? ??????

4
???????? ???????
  • ?????
  • ?????-?????????
  • ???????
  • ????

5
??????????
  • 1. ????????????? ???? ????? ????? ? ??????
  • ??? ????? ????? ?????? ????? ?????
    ?????????????? ??????????? ? ????????? ??????????
    ?????? ? ??????
  • ??????? ??????? ??????????? - 45.6 ???
  • ?????? ????? ???? ?? ????? ???????
    ?????????????????? ??????????? ?????????? (7 ??
    100000 ??????) ????? ??????????? ?????
  • 70 ???? ??????? ??? ??????????????? ?? ???????,
    ??????????? ???????
  • 5-?? ?????? ???????????? ?????????? 92 ???
    ?????????????? ???????, 49-????????????
    ?????????, 15-?????????? ?????????
  • ????????????? ?? ??????? ? carcinoma in situ -
    6.6, I - 8.8, II - 28, III - 36.7, IV - 19.9
  • ???????? ?????????? ?????????? ???????????????
    ??????? ??????????, 2002

6
(No Transcript)
7
(No Transcript)
8
??????????
  • 2. ???????? ???????????? ???????? ????????????
    ??????????????? ?? ? ????????? ????????? ????
    ????? ????? ? ??????
  • ??????? ???????? ???????????? ???????????????
    ???????????? ????????? ???? ????? ????? ? ?????
    ????????? ? ?????????????? ?????????,
    ?????????????, ????????, ??? ? ??

9
??????????
  • 3. ???????????? ?????????????? ? ??????????????
    ?????????
  • ????? ????????? ???????????? ???????????? ?
    ????????? ? ???????????????? ?????????????
    ???????, ??? ???????????? ???????????? ??????????
    80
  • ????????? ???? ???????????? ????????????
    ????????????????? ? ??????? 15-20 ???
  • ??????????? ??????? ? ?????????? ? ???????????
    ???????????? ????????????? ?????? ?? 30-40

10
(No Transcript)
11
??????????
  • 4. ??????? ???????, ???????? ?? ??????????
    ????????? ? ??????
  • ??????, ?????????, ????????? ? ????????
    ???????????? ????????? ? ?????? ? ?????????
    ???????????? ???? ????? ?????
  • ????? ????? 400 ?????????? ????????? ???????
    ?????? ??????????? ??????????? ???????????. ???
    ?????? ???? ??????????? ????????????????? ??????

12
??????? ??????????
  • ????? ??????????
  • 30 ?????? ????????, ??? ?????-???? ??????
    ????? ?? ???????????
  • ?? ??? ????? 2/3 ?????? ??? ?????, ??? ????
    ??? ? ?????
  • ????? 2/3 ?????? ??? ?? ????? 2-? ??? ?????
  • ?????????? ??????
  • 69,6 ?? ??? ? ???????? 35-64 ???
  • 22,7 ? ???????? 15-34 ???

13
??????????
  • ?????? ?????? ? ????????? ???
  • 42 ?????? ??????? ?? ??????? ? ????????? ???,
    ????? ?? ???????????
  • 1/3 ?? ???, ??? ?????-???? ??????? ? ????? ??
    ???????????, ???????? ? ???, ??? ???? ????
    ???????????? ??? ??????????? ????, ? ?? ?????????
    ? ????? ? ???? ?????? ????
  • ???????? ??????????
  • ??????????? ??????, ??????? ????? ?
    ???????????? ???, ????????, ??? ?????????? ????
    ???????? ?? ??????? ??????

14
??????????
  • ??????????? ?????? ???????? ??????? ??? ??????
    ?????
  • ? ???? ?????
  • 1/3 ?????? ????????, ??? ??? ????????? ? ???
    ?? ?????????? ?????? ????????????? ??? ??? ??
    ???????? ?? ??? ???????
  • ?????? ???????? ?????, ??? ??? ????? ?????
    -?????? ???????????????? ??????????? ?????
    ?????????? ??????
  • ???????????????? ??? ??????? ?????? ????? ???
    ???? ????? ????? "??????? ????????????????"

15
??????????
  • ???? ??????
  • ?????????? ????????????? ??????
  • 25 ??????, ??????? ?????-?? ?????? ????? ??
    ???????????, ????????, ??? ??? ?? ????
    ???????????????? ? ??????????? ???????
  • ????? ?? ????????? ?????? ? ?? ?????????
    ????????????? ??????????? ????????? ???

16
??????????
  • ???? ??????
  • ??????????? ??? ??????? ????????, ??? ???
    ?????? ?? ????? ?????? ?????????? ? ???, ?????
    ???????????? ??? ????????, ??????? ??
    ????????????? ? ??????????.
  • ? ?? ?? ????? ???? ??????? ???????? ?????
    ??????? ? ????????????? ????????, ?? ??????
    ?????, ??????? ??? ???????? ??? ??? ?????
    ?????????????

17
??????????
  • 5. ?????????? ??????? ????????????? ?????????????
    (MISCAN)
  • ?????? ????????????? ????????????? ??? ????????
    ??? 3 ???? ????????? ??? ?????? ? ?????c?? 35-64
    ???

?????????????? ???????? ????????? ???? ?????
????? ? ??????
18
(No Transcript)
19
?????? ????????????? ????????????? - ??????????
??????
  • ???????? ?????? ???????? ??????? ?? ??????????
    ????????????? ?????????????
  • ??? ?????? ? ?????????? ?????? ? ??????
  • ???????
  • ?? ???????????? 84 ????? ? ??????????? ??
    ???????????????? ? ????????????? ?????

20
(No Transcript)
21
????????? ? ??????????? ???? ?????
?????????????? ???????? ????????? ???? ?????
????? ? ??????
22
??????????? ?????????? ?????????
23
??????????
  • ?????????? ??????? ????????????? ?????????????
  • 12 ?????????? ????????? ????????? ????????????
    ???????????? ??? ?????????? ????????????? ?????
    ??? ?????
  • ??? ??????????? ??????????, ????? ??????????? ???
    ????? ????????????? ?? 2.04 ?? 2.45 ?? ???
    ?????????
  • ????? ????????? ???????????? ????????? ?????????
    ?? 2950 ?? 4100 ?? 1000 ??????
  • ? ????? ?? ?????? ??? ???????? ?? 2.8-3.8
    ?????????? ?????? (93-127 ????????? ???????? ???)

?????????????? ???????? ????????? ???? ?????
????? ? ??????
24
?????
  • ???????????? ?? ??????????? ???? ? ??????
    ????????? ????????? ??? ???????????? ??? ????????
    ????? ??????
  • ???????? ????????, ???????? ?? ??????
    ??????????, ??? ?????? ??????????????? ???????
    ?????? ?? ?????? ????????
  • ?????????? ???????????? ??????
  • ????????? ??????? ?????? ????????, ?????,
    ?????????? ?????? - ??? ???????? ???????,
    ????????? ??????? ?????? ??????????
  • ?????????? ??????, ???????????? ??? ?????????,
    ????????? ?????? ??????? ?? ????????? ? ?????
    ??????????? ??? ?????

25
?????? ??????????
  • Dorte Gyrd-Hansen, Berit Hund, Per Andersen. A
    cost-effectiveness analysis of cervical cancer
  • health policy implications. J. Health Policy
    1995 34 35-51.
  • Cuzick J, Sasieni P, Davies P, Adams J, Normand
    C, Frater A. A systematic review of the role of
    human papilloma virus
  • (HPV) testing within a cervical screening
    programmesummary and conclusions. British
    Journal of Cancer 2000 83(5) 561565.
  • van Ballegooijen, E. et al Overview of important
    cervical cancer screening process values in
    European Union (EU) countries,
  • and tentative predictions of the corresponding
    effectiveness and cost-effectiveness. European
    Journal of Cancer 2000 36 2177- 2188.
  • Cuzick J. Human Papillomavirus in Cervical
    Screening. FIGO 2000, Conference Coverage
    Washington D.C., USA
  • Allison P. Hawkes, et al Cervical Cancer
    Screening American College of Preventive
    Medicine Practice Policy Statement.
  • American Journal of Preventive MedicineSeptember
    1996 October12(5)342-44.
  • Zoorov R, Anderson R, Cefalu C, Sidani M. Am Fam
    Physician 2001 631101-12.
  • Goldie, S J Kuhn, L Denny, L Pollack, A
    Wright, T C Policy analysis of cervical cancer
    screening strategies in
  • low-resource settings clinical benefits and
    cost-effectiveness. JAMA 2001 June 285(24)
    3107-3115.
  • Brown AD and Garber AM, Cost-effectiveness of 3
    Methods to Enhance the Sensitivity of
    Papanicolaou Testing,
  • JAMA 1999, 81 (4)
  • Spitzer M. Cervical screening adjuncts recent
    advances. Am J Obstet Gynecol 1998
    179544-56.
  • European Guidelines for Quality Assurance in
    Cervical Cancer Screening, 2001.
  • .Brown AD, Garber AM Cost-effectiveness of 3
    methods to enhance the sensitivity of
    Papanicolaou testing
  • JAMA 1999 Jan 27281(4)347-53.

26
??????? ?? ????????
Write a Comment
User Comments (0)
About PowerShow.com