The effect of organised breast cancer screening on mortality
Presented by Professor Tom Buchmueller (University of Michigan)
Breast cancer is the most commonly diagnosed cancer and the leading cause of cancer death among women worldwide. This paper investigates the effect of organized breast cancer screening on mortality using data from France. We use the gradual implementation of the program in French départements and target age range to isolate the causal impact of the number of screening invitations received on breast cancer mortality for the years 1980 to 2013.
We separately evaluate “local” programs that were implemented by individual départements between 1989 and 2000 and a national program using new protocols that was implemented in all départements between 2001 and 2004. We find that early local programs implemented in the 1980s and 1990s lead on average to 3.5 deaths per 100,000. The national program, which expanded the frequency and targeted age ranges of the local programs, led to little to no improvement in survival over the years 2001 to 2013.
Our results suggest that earlier detection by mammography decreases breast cancer mortality, but that the marginal benefits of mammography may fall when the frequency of screenings increase and screenings are applied outside of the targeted age group.
Speaker
Thomas Buchmueller is the Waldo O. Hildebrand Professor of Risk Management and Insurance at the Stephen M. Ross School of Business, where he currently serves as the Senior Associate Dean for Faculty and Research. He is a Research Associate of the National Bureau of Economic Research, an elected member of the Board of Directors of the American Society of Health Economists and Editor-in-Chief of the American Journal of Health Economics.
Professor Buchmueller is a health economist who is an expert on the economics of health insurance and related public policies. He has done extensive research on the link between health insurance and the labor market in the U.S., consumer demand for health insurance, the interaction between public policies and private insurance markets, and health care reform.
In addition to his research on U.S. policy topics, he has published studies on the economics of health insurance in France, Australia and the Netherlands. Much of his recent research focuses on health care reform in the U.S., with a particular emphasis on the effect of the Affordable Care Act’s insurance coverage expansions on patients and provider organizations.
Register now
As part of the Centre of Health Economics' vibrant research culture, we host a weekly seminar series where visiting and invited researchers present current research relating to the economics of health and wellbeing, and the healthcare sector. Visitors are welcome to join these sessions where discussion and debate is encouraged.
Contact shannon.stanwell@monash.edu for registration details.
Event Details
- Date:
- 6 October 2021 at 9:00 am – 10:00 am
- Venue:
- Online
- Categories:
- Health Economics; CHE Seminar
Description
Presented by Professor Tom Buchmueller (University of Michigan)
Breast cancer is the most commonly diagnosed cancer and the leading cause of cancer death among women worldwide. This paper investigates the effect of organized breast cancer screening on mortality using data from France. We use the gradual implementation of the program in French départements and target age range to isolate the causal impact of the number of screening invitations received on breast cancer mortality for the years 1980 to 2013.
We separately evaluate “local” programs that were implemented by individual départements between 1989 and 2000 and a national program using new protocols that was implemented in all départements between 2001 and 2004. We find that early local programs implemented in the 1980s and 1990s lead on average to 3.5 deaths per 100,000. The national program, which expanded the frequency and targeted age ranges of the local programs, led to little to no improvement in survival over the years 2001 to 2013.
Our results suggest that earlier detection by mammography decreases breast cancer mortality, but that the marginal benefits of mammography may fall when the frequency of screenings increase and screenings are applied outside of the targeted age group.
Speaker
Thomas Buchmueller is the Waldo O. Hildebrand Professor of Risk Management and Insurance at the Stephen M. Ross School of Business, where he currently serves as the Senior Associate Dean for Faculty and Research. He is a Research Associate of the National Bureau of Economic Research, an elected member of the Board of Directors of the American Society of Health Economists and Editor-in-Chief of the American Journal of Health Economics.
Professor Buchmueller is a health economist who is an expert on the economics of health insurance and related public policies. He has done extensive research on the link between health insurance and the labor market in the U.S., consumer demand for health insurance, the interaction between public policies and private insurance markets, and health care reform.
In addition to his research on U.S. policy topics, he has published studies on the economics of health insurance in France, Australia and the Netherlands. Much of his recent research focuses on health care reform in the U.S., with a particular emphasis on the effect of the Affordable Care Act’s insurance coverage expansions on patients and provider organizations.
Register now
As part of the Centre of Health Economics' vibrant research culture, we host a weekly seminar series where visiting and invited researchers present current research relating to the economics of health and wellbeing, and the healthcare sector. Visitors are welcome to join these sessions where discussion and debate is encouraged.
Contact shannon.stanwell@monash.edu for registration details.