Academic Journal
View in EDS

Potential cost-savings of breastfeeding promotion to prevent breast cancer: a Monte Carlo simulation.

Bibliographic Details
Title: Potential cost-savings of breastfeeding promotion to prevent breast cancer: a Monte Carlo simulation.
Authors: Hui, Lai Ling, Liao, Emily, Lian, Jin Xiao, So, Ching, Wu, Ting Ting, Wong, Carlos K. H., Loganathan, Tharani, Nelson, Edmund Anthony S.
Source: International Breastfeeding Journal; 2/24/2025, Vol. 20 Issue 1, p1-8, 8p
Subject Terms: BREAST tumor prevention, BREAST tumor treatment, COST control, BREASTFEEDING, MEDICAL care use, RESEARCH funding, BREAST tumors, LIFE expectancy, DECISION making, SIMULATION methods in education, BREASTFEEDING promotion, MATHEMATICAL models, THEORY, MEDICAL care costs, PEOPLE with disabilities
Geographic Terms: HONG Kong (China)
Abstract: Background: Breastfeeding protects mothers against breast cancer. Our study aimed to estimate the healthcare cost-savings resulting from a reduction in breast cancer attributed to an increase in the breastfeeding rate in Hong Kong. Methods: This is an economic evaluation. We constructed an individual-based Monte Carlo method to simulate with probabilistic sensitivity analysis the development of breast cancer over a woman's lifetime in a hypothetical birth cohort aged 20 years in 2018 (n = 33500) using best available data mainly from government statistics. We predicted the cases of, and deaths due to breast cancer in the base case (with the actual breastfeeding rate in 2018) and two hypothetical optimal scenarios (90% exclusive breastfeeding for six months or cumulative exclusive/partial breastfeeding for at least 12 months). The healthcare cost-savings, the number of deaths averted and the increase in disability-adjusted life years (DALYs) due to the prevention of breast cancer attributed to a higher breastfeeding rate were then deduced, assuming an annual discount rate of 3%. Results: Increasing the proportion of parous women breastfeeding exclusively for six months from 26 to 90% averted 266 (95% CI 259, 273) or ~ 10% of all-stage breast cancer cases, 18 deaths (95% CI 17, 19) and 399 DALYs (95% CI 381, 416), over the lifetime of each annual cohort of women in Hong Kong. The lifetime medical costs that could be saved would be ~ USD3 million using 2018 prices. However cost-savings were 5-times less in another scenario where the cumulative partial/exclusive breastfeeding for 12 months in parous women is increased to 90% due to its weaker protection against breast cancer compared to exclusive breastfeeding. Conclusions: Promoting and protecting breastfeeding could lead to cost-savings for treating breast cancer in Hong Kong. Our analysis can inform the annual healthcare budget that could be allocated to promote exclusive breastfeeding for six months. [ABSTRACT FROM AUTHOR]
Copyright of International Breastfeeding Journal is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Complementary Index
FullText Links:
  – Type: pdflink
Text:
  Availability: 0
CustomLinks:
  – Url: https://resolver.ebsco.com/c/xy5jbn/result?sid=EBSCO:edb&genre=article&issn=17464358&ISBN=&volume=20&issue=1&date=20250224&spage=1&pages=1-8&title=International Breastfeeding Journal&atitle=Potential%20cost-savings%20of%20breastfeeding%20promotion%20to%20prevent%20breast%20cancer%3A%20a%20Monte%20Carlo%20simulation.&aulast=Hui%2C%20Lai%20Ling&id=DOI:10.1186/s13006-024-00689-y
    Name: Full Text Finder (for New FTF UI) (s8985755)
    Category: fullText
    Text: Find It @ SCU Libraries
    MouseOverText: Find It @ SCU Libraries
Header DbId: edb
DbLabel: Complementary Index
An: 183238551
RelevancyScore: 1082
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 1082.12329101563
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Potential cost-savings of breastfeeding promotion to prevent breast cancer: a Monte Carlo simulation.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Hui%2C+Lai+Ling%22">Hui, Lai Ling</searchLink><br /><searchLink fieldCode="AR" term="%22Liao%2C+Emily%22">Liao, Emily</searchLink><br /><searchLink fieldCode="AR" term="%22Lian%2C+Jin+Xiao%22">Lian, Jin Xiao</searchLink><br /><searchLink fieldCode="AR" term="%22So%2C+Ching%22">So, Ching</searchLink><br /><searchLink fieldCode="AR" term="%22Wu%2C+Ting+Ting%22">Wu, Ting Ting</searchLink><br /><searchLink fieldCode="AR" term="%22Wong%2C+Carlos+K%2E+H%2E%22">Wong, Carlos K. H.</searchLink><br /><searchLink fieldCode="AR" term="%22Loganathan%2C+Tharani%22">Loganathan, Tharani</searchLink><br /><searchLink fieldCode="AR" term="%22Nelson%2C+Edmund+Anthony+S%2E%22">Nelson, Edmund Anthony S.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: International Breastfeeding Journal; 2/24/2025, Vol. 20 Issue 1, p1-8, 8p
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22BREAST+tumor+prevention%22">BREAST tumor prevention</searchLink><br /><searchLink fieldCode="DE" term="%22BREAST+tumor+treatment%22">BREAST tumor treatment</searchLink><br /><searchLink fieldCode="DE" term="%22COST+control%22">COST control</searchLink><br /><searchLink fieldCode="DE" term="%22BREASTFEEDING%22">BREASTFEEDING</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+care+use%22">MEDICAL care use</searchLink><br /><searchLink fieldCode="DE" term="%22RESEARCH+funding%22">RESEARCH funding</searchLink><br /><searchLink fieldCode="DE" term="%22BREAST+tumors%22">BREAST tumors</searchLink><br /><searchLink fieldCode="DE" term="%22LIFE+expectancy%22">LIFE expectancy</searchLink><br /><searchLink fieldCode="DE" term="%22DECISION+making%22">DECISION making</searchLink><br /><searchLink fieldCode="DE" term="%22SIMULATION+methods+in+education%22">SIMULATION methods in education</searchLink><br /><searchLink fieldCode="DE" term="%22BREASTFEEDING+promotion%22">BREASTFEEDING promotion</searchLink><br /><searchLink fieldCode="DE" term="%22MATHEMATICAL+models%22">MATHEMATICAL models</searchLink><br /><searchLink fieldCode="DE" term="%22THEORY%22">THEORY</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+care+costs%22">MEDICAL care costs</searchLink><br /><searchLink fieldCode="DE" term="%22PEOPLE+with+disabilities%22">PEOPLE with disabilities</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22HONG+Kong+%28China%29%22">HONG Kong (China)</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Breastfeeding protects mothers against breast cancer. Our study aimed to estimate the healthcare cost-savings resulting from a reduction in breast cancer attributed to an increase in the breastfeeding rate in Hong Kong. Methods: This is an economic evaluation. We constructed an individual-based Monte Carlo method to simulate with probabilistic sensitivity analysis the development of breast cancer over a woman's lifetime in a hypothetical birth cohort aged 20 years in 2018 (n = 33500) using best available data mainly from government statistics. We predicted the cases of, and deaths due to breast cancer in the base case (with the actual breastfeeding rate in 2018) and two hypothetical optimal scenarios (90% exclusive breastfeeding for six months or cumulative exclusive/partial breastfeeding for at least 12 months). The healthcare cost-savings, the number of deaths averted and the increase in disability-adjusted life years (DALYs) due to the prevention of breast cancer attributed to a higher breastfeeding rate were then deduced, assuming an annual discount rate of 3%. Results: Increasing the proportion of parous women breastfeeding exclusively for six months from 26 to 90% averted 266 (95% CI 259, 273) or ~ 10% of all-stage breast cancer cases, 18 deaths (95% CI 17, 19) and 399 DALYs (95% CI 381, 416), over the lifetime of each annual cohort of women in Hong Kong. The lifetime medical costs that could be saved would be ~ USD3 million using 2018 prices. However cost-savings were 5-times less in another scenario where the cumulative partial/exclusive breastfeeding for 12 months in parous women is increased to 90% due to its weaker protection against breast cancer compared to exclusive breastfeeding. Conclusions: Promoting and protecting breastfeeding could lead to cost-savings for treating breast cancer in Hong Kong. Our analysis can inform the annual healthcare budget that could be allocated to promote exclusive breastfeeding for six months. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of International Breastfeeding Journal is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://login.libproxy.scu.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&scope=site&db=edb&AN=183238551
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1186/s13006-024-00689-y
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 1
    Subjects:
      – SubjectFull: HONG Kong (China)
        Type: general
      – SubjectFull: BREAST tumor prevention
        Type: general
      – SubjectFull: BREAST tumor treatment
        Type: general
      – SubjectFull: COST control
        Type: general
      – SubjectFull: BREASTFEEDING
        Type: general
      – SubjectFull: MEDICAL care use
        Type: general
      – SubjectFull: RESEARCH funding
        Type: general
      – SubjectFull: BREAST tumors
        Type: general
      – SubjectFull: LIFE expectancy
        Type: general
      – SubjectFull: DECISION making
        Type: general
      – SubjectFull: SIMULATION methods in education
        Type: general
      – SubjectFull: BREASTFEEDING promotion
        Type: general
      – SubjectFull: MATHEMATICAL models
        Type: general
      – SubjectFull: THEORY
        Type: general
      – SubjectFull: MEDICAL care costs
        Type: general
      – SubjectFull: PEOPLE with disabilities
        Type: general
    Titles:
      – TitleFull: Potential cost-savings of breastfeeding promotion to prevent breast cancer: a Monte Carlo simulation.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Hui, Lai Ling
      – PersonEntity:
          Name:
            NameFull: Liao, Emily
      – PersonEntity:
          Name:
            NameFull: Lian, Jin Xiao
      – PersonEntity:
          Name:
            NameFull: So, Ching
      – PersonEntity:
          Name:
            NameFull: Wu, Ting Ting
      – PersonEntity:
          Name:
            NameFull: Wong, Carlos K. H.
      – PersonEntity:
          Name:
            NameFull: Loganathan, Tharani
      – PersonEntity:
          Name:
            NameFull: Nelson, Edmund Anthony S.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 24
              M: 02
              Text: 2/24/2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 17464358
          Numbering:
            – Type: volume
              Value: 20
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: International Breastfeeding Journal
              Type: main
ResultId 1