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Table 2 Cases and deaths of breast cancer averted & lifetime costs (million US$) of breast cancer saved by optimal scenario 1 (90% parous women breastfeed partially or exclusively for 12 months) & optimal scenario 2 (90% parous women breastfeed exclusively for 6 months) for a cohort of 33,500 Hong Kong women aged 20 years in 2018

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

 

Cases

Deaths

DALYs

Lifetime costs+

Base^/Optimal

Averted (95% CI)

Base^/Optimal

Averted

(95% CI)

Base^/Optimal

Averted

(95% CI)

Base^/Optimal

Averted

(95% CI)

Scenario 1 (90% parous women breastfeed partially or exclusively for 12 months)

Stage I

1594/1558

36(33, 39)

85/83

2 (1, 2)

2078/2036

42 (32, 52)

15.49/15.16

0.34 (0.3, 0.37)

Stage II

411/403

9(7, 10)

24/24

0 (0, 1)

567/556

11 (6, 16)

4.01/3.93

0.08 (0.07, 1)

Stage III

334/325

9(7, 10)

23/22

0 (0, 1)

506/495

10 (5, 16)

3.72/3.63

0.09 (0.08, 0.11)

Stage IV

232/227

5(4, 6)

44/42

1 (1, 2)

755/734

21 (14, 28)

6.79/6.65

0.14 (0.10, 0.17)

Total

2571/2513

59(54, 62)

176/173

3 (3, 5)

3908/3834

84 (70, 100)

30.02/29.37

0.65 (0.60, 0.70)

Scenario 2 (90% parous women breastfeed exclusively for 6 months)

Stage I

1584/1419

164 (159, 169)

85/76

9 (8, 9)

2077/1865

212 (201, 223)

15.39/13.81

1.58 (1.53, 1.63)

Stage II

411/367

44 (42, 46)

24/21

3 (2, 3)

570/508

62 (57, 67)

3.99/3.58

0.43 (0.41, 0.45)

Stage III

332/298

35 (33, 36)

23/20

2 (2, 3)

510/455

55 (49, 60)

3.71/3.32

0.38 (0.36, 0.4)

Stage IV

229/206

23 (22, 24)

43/39

4 (3, 4)

740/670

70 (62, 77)

6.74/6.07

0.68 (0.64, 0.71)

Total

2556/2290

266 (259, 273)

174/158

18 (17, 19)

3897/3498

399 (381, 416)

29.83/26.78

3.07 (2.98, 3.15)

  1. ^Base: Actual breastfeeding rate in 2018 was used in baseline
  2. +2018 prices with 3% discount rate