Therese Mungah Shalo Tchombe
Resilient cultural practices for cognitive development during childhood within learning pathways with support from mediated mutual reciprocal theory
Frontiers in psychology
increased attention cancer care instigated altered systems screening diagnosis management various types cancer prostate systems likely improved quality cancer care also result altered use specific services magnetic resonance imaging mri study change use prostate mri norwegian health care system 2013 2021 investigate reasons potential implications change data norwegian health economics administration helfo cancer registry norway causeofdeath registry norwegian institute public health health registry vestfold hospital trust used descriptive statistical analysis number mris prostate increased threefold 2013 2021 representing extra cost 2 million usd 2020 incidence prostate cancer stable 5000 cases per year corresponding 178 per 100000 men indicating increased overdiagnosis however clinical staging changed substantially period indicating stage grade migration number negative biopsies reduced three mris per reduced negative biopsy number persons active surveillance increased period however changes partly independent increase number mris substantial increase number prostate mris thus increase costs appears contributed reduction negative biopsies improved staging increased active surveillance however effects partly independent increase mris need document outcomes patients prostate mris opportunity costs substantial