Cost-Effectiveness Of Mobile Phone Imaging Teledentistry (Mpit) For Early Detection Of Oral Cancer In Malaysia: A Markov Decision Analysis Approach

Although numerous national oral cancer screening initiatives are carried out in Malaysia, patients are still being disproportionately diagnosed at later stages, leading to substantial social and economic burdens. To overcome these challenges, a novel application called MeMoSA® was developed by incor...

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Main Author: Raman, Sivaraj
Format: Thesis
Language:English
Published: 2022
Subjects:
Online Access:http://eprints.usm.my/59803/
http://eprints.usm.my/59803/1/24%20Pages%20from%20SIVARAJ%20AL%20RAMAN.pdf
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author Raman, Sivaraj
author_facet Raman, Sivaraj
author_sort Raman, Sivaraj
building USM Institutional Repository
collection Online Access
description Although numerous national oral cancer screening initiatives are carried out in Malaysia, patients are still being disproportionately diagnosed at later stages, leading to substantial social and economic burdens. To overcome these challenges, a novel application called MeMoSA® was developed by incorporating a mobile phone imaging teledentistry for oral examinations (MOE). The application serves as a communication platform between primary healthcare practitioners and specialists located off-site. This study aims to report the cost-effectiveness of MOE, for screening patients with oral potentially malignant disorders (OPMD) and oral cancer compared to the conventional oral examination (COE) conducted routinely via either high-risk community screening camps (C1) or primary dental clinics (C2). A societal perspective was adopted to encompass all the far-reaching consequences of early detection of oral cancer. A Markov modeling was applied to simulate the impact of various MOE screening strategies on cost and quality-adjusted life-years (QALYs) for a hypothetical cohort of 100,000 adults aged 40 years. The initial findings from two tertiary healthcare centers demonstrated that late-stage oral cancer incurred significantly higher healthcare provider and patient household costs, in addition to a lower quality of life compared to the early stage and OPMD.
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spelling usm-598032024-02-05T00:59:58Z http://eprints.usm.my/59803/ Cost-Effectiveness Of Mobile Phone Imaging Teledentistry (Mpit) For Early Detection Of Oral Cancer In Malaysia: A Markov Decision Analysis Approach Raman, Sivaraj RS1-441 Pharmacy and materia medica Although numerous national oral cancer screening initiatives are carried out in Malaysia, patients are still being disproportionately diagnosed at later stages, leading to substantial social and economic burdens. To overcome these challenges, a novel application called MeMoSA® was developed by incorporating a mobile phone imaging teledentistry for oral examinations (MOE). The application serves as a communication platform between primary healthcare practitioners and specialists located off-site. This study aims to report the cost-effectiveness of MOE, for screening patients with oral potentially malignant disorders (OPMD) and oral cancer compared to the conventional oral examination (COE) conducted routinely via either high-risk community screening camps (C1) or primary dental clinics (C2). A societal perspective was adopted to encompass all the far-reaching consequences of early detection of oral cancer. A Markov modeling was applied to simulate the impact of various MOE screening strategies on cost and quality-adjusted life-years (QALYs) for a hypothetical cohort of 100,000 adults aged 40 years. The initial findings from two tertiary healthcare centers demonstrated that late-stage oral cancer incurred significantly higher healthcare provider and patient household costs, in addition to a lower quality of life compared to the early stage and OPMD. 2022-09 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/59803/1/24%20Pages%20from%20SIVARAJ%20AL%20RAMAN.pdf Raman, Sivaraj (2022) Cost-Effectiveness Of Mobile Phone Imaging Teledentistry (Mpit) For Early Detection Of Oral Cancer In Malaysia: A Markov Decision Analysis Approach. Masters thesis, Perpustakaan Hamzah Sendut.
spellingShingle RS1-441 Pharmacy and materia medica
Raman, Sivaraj
Cost-Effectiveness Of Mobile Phone Imaging Teledentistry (Mpit) For Early Detection Of Oral Cancer In Malaysia: A Markov Decision Analysis Approach
title Cost-Effectiveness Of Mobile Phone Imaging Teledentistry (Mpit) For Early Detection Of Oral Cancer In Malaysia: A Markov Decision Analysis Approach
title_full Cost-Effectiveness Of Mobile Phone Imaging Teledentistry (Mpit) For Early Detection Of Oral Cancer In Malaysia: A Markov Decision Analysis Approach
title_fullStr Cost-Effectiveness Of Mobile Phone Imaging Teledentistry (Mpit) For Early Detection Of Oral Cancer In Malaysia: A Markov Decision Analysis Approach
title_full_unstemmed Cost-Effectiveness Of Mobile Phone Imaging Teledentistry (Mpit) For Early Detection Of Oral Cancer In Malaysia: A Markov Decision Analysis Approach
title_short Cost-Effectiveness Of Mobile Phone Imaging Teledentistry (Mpit) For Early Detection Of Oral Cancer In Malaysia: A Markov Decision Analysis Approach
title_sort cost-effectiveness of mobile phone imaging teledentistry (mpit) for early detection of oral cancer in malaysia: a markov decision analysis approach
topic RS1-441 Pharmacy and materia medica
url http://eprints.usm.my/59803/
http://eprints.usm.my/59803/1/24%20Pages%20from%20SIVARAJ%20AL%20RAMAN.pdf