Navarrete-Valero Carlos, Navarrete-Vázquez Carlos
Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Estado de México, México.
Gac Med Mex. 2018;154(6):665-670. doi: 10.24875/GMM.18004369.
In Mexico, large expenditure is made on resources for cervical and breast cancer early detection, but the Ministry of Health and the Mexican Institute of Social Security do not have a program for the detection of prostate cancer.
To compare breast, cervical and prostate cancer mortality, as well as years lost in Mexico from 2013 to 2016 versus the cost of programs.
Overall mortality figures were taken from the number of deaths for each type of cancer based on ICD-10. The number of years lost were obtained according to life expectancy in Mexico (72 years for men and 77 years for women).
Prostate cancer mortality is higher than that of breast cancer, but lost years in women due to breast cancer are higher. The cost of programs for breast and prostate cancer from 2013 to 2016 in both institutions was 3 036 322 156 Mexican Pesos.
Institutional programs have not had an impact to the benefit of the population in spite of their cost and prostate cancer has not been correctly evaluated. It is necessary for strategies to be assessed and redesigned in order to optimize expenditure and benefit the population.
在墨西哥,用于宫颈癌和乳腺癌早期检测的资源投入巨大,但卫生部和墨西哥社会保障局却没有前列腺癌检测项目。
比较2013年至2016年墨西哥乳腺癌、宫颈癌和前列腺癌的死亡率以及生命损失年数与项目成本。
总体死亡率数据取自基于国际疾病分类第十版(ICD - 10)的各类癌症死亡人数。生命损失年数根据墨西哥的预期寿命得出(男性为72岁,女性为77岁)。
前列腺癌死亡率高于乳腺癌,但女性因乳腺癌导致的生命损失年数更多。2013年至2016年,这两个机构用于乳腺癌和前列腺癌项目的成本为30.36322156亿墨西哥比索。
尽管投入了成本,但机构项目并未对民众产生有益影响,且前列腺癌未得到正确评估。有必要对策略进行评估和重新设计,以优化支出并造福民众。