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A model of scaling up ACT NOW, a Philippine pilot that guides women from free breast examination to treatment, found it cost-effective at about 60,700 pesos per disability-adjusted life year saved, preventing 57 breast cancer deaths per 100,000 women over five years.
A microsimulation decision-tree model of ACT NOW, with annual clinical breast examination and breast ultrasound for women at high risk (which the paper calls biannual), over five years for healthy women aged 40 to 69. The authors note that the Philippines has reformed financial protection for breast cancer but has no national early detection and treatment programme.
Early detection with navigation to treatment is likely to be good value in the Philippines, and the authors call for research on the best model for full implementation.
Shares Health Technology Assessment Council, Philippines, Philippine Health Insurance Corporation (PhilHealth).
Shares Health Technology Assessment Council, Philippines, Philippine Cancer Society, Philippine Health Insurance Corporation (PhilHealth), Breast cancer (all types).
Shares Philippine Cancer Society, Breast cancer (all types).
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