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Instituto Nacional de Salud Pública

2026, Número 1

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salud publica mex 2026; 68 (1)


Impacto económico del diagnóstico oportuno y la referencia temprana en la atención integral del cáncer en México: estrategia DERIVA

Arrieta Ó, Gómez-García AP, Espinosa-Bautista KA, Gay-Molina JG, Ortiz-Blas LA, Arce-Salinas CH, Martínez-Saíd H, Valle-Mesto H, Reynoso-Noverón N

Idioma: Ingles.
Referencias bibliográficas: 56
Paginas: 13-21
Archivo PDF: 300.16 Kb.


RESUMEN

Objetivo. Estimar el ahorro económico derivado de una estrategia de diagnóstico y tratamiento precoz oportuno en pacientes con sospecha de cáncer. Material y métodos. Se realizó un análisis financiero del ahorro implementando un programa de diagnóstico oportuno DERIVA. Se consideraron los cánceres con mayor mortalidad en México evaluando diferentes escenarios de desplazamiento hacia etapas más tempranas al momento del diagnóstico: escenario optimista: desplazamiento de etapa III a II (8-40%) y de etapa IV a III (2.6-40%), escenario moderado: desplazamiento de etapa III a II (4-24%) y de etapa IV a III (1.3-24%) y escenario conservador: desplazamiento de etapa III a II (1-7%) y de etapa IV a III (0.7-10%). Resultados. En el escenario optimista se proyecta un aumento en la proporción de atención en etapa II de 13.85% para cáncer de mama y 5.13% para cáncer colorrectal; paracáncer de pulmón se estima un aumento de 14.1% en laetapa III. Los ahorros promedio estimados ascienden a 4 106 834.94 ± 6 467 043.35 USD. Conclusión. La detección yel tratamiento oportuno de ciertos tipos de cáncer pueden generar ahorros económicos significativos, contribuyendo a la sostenibilidad financiera del sistema de salud y a mejores tasas de supervivencia y calidad de vida para los pacientes.


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