| Equation | (# individuals screened) x (% screened solely because of program) x (# QALY increase) x ($ QALY) |
| Explanation | This metric estimates the impact of yearly oral cancer screening on future health, estimated in terms of quality-adjusted life years (QALY). This metric is specifically for annual community outreach screening programs for males over 40 years of age who are regularly using tobacco and/or alcohol. Number of participants: Reported by program. Percentage of adults receiving care due to program: [0.65]. About 35% of Medicaid enrollees report receiving oral care (MN Department of Health, 2017). If the program targets Latinx individuals, we approximate the rate of use of dental service using the Crozier (2011) estimate of the percent of Latinx individuals who lack dental insurance [45%]. QALY increase: [0.04]. This is based on an estimate that screenings could result in a 0.04 QALY increase per patient (Dedhia et al., 2011). $ value per QALY: [$50,000] Benefits are then discounted to present value based on the average age of participation to life expectancy. |
| References | Dedhia, R., Smith, K., Johnson, J., & Roberts, M. (2011). The cost-effectiveness of community-based screening for oral cancer in high-risk males in the United States: A Markov decision analysis approach. The Laryngoscope, 121(5), 952-960. Minnesota Department of Health (n.d.) Quick Facts: Oral health in Minnesota. Retrieved from https://www.health.state.mn.us/people/oralhealth/data/oralhealthmn.html Crozier, S. (2011, November). Insights gained in Hispanic survey. ADA News. American Dental Association. Retrieved January 25, 2011. |
HEA014 Oral cancer screening of high-risk population leading to increased quality-adjusted life years (QALY)
