<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0036-3634</journal-id>
<journal-title><![CDATA[Salud Pública de México]]></journal-title>
<abbrev-journal-title><![CDATA[Salud pública Méx]]></abbrev-journal-title>
<issn>0036-3634</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0036-36342021000400538</article-id>
<article-id pub-id-type="doi">10.21149/12332</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Costos de atención del cáncer de mama en el Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, México]]></article-title>
<article-title xml:lang="en"><![CDATA[Health-care costs of breast cancer at the Institute of Social Security and Services for Government Workers in Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Nájera]]></surname>
<given-names><![CDATA[Olimpia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cahuana-Hurtado]]></surname>
<given-names><![CDATA[Lucero]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ávila-Burgos]]></surname>
<given-names><![CDATA[Leticia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital Regional Centenario de la Revolución Mexicana ]]></institution>
<addr-line><![CDATA[Emiliano Zapata Morelos]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Peruana Cayetano Heredia Facultad de Salud Pública y Administración ]]></institution>
<addr-line><![CDATA[Lima Lima]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Salud Pública Centro de Investigación en Sistemas de Salud ]]></institution>
<addr-line><![CDATA[Cuernavaca Morelos]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>63</volume>
<numero>4</numero>
<fpage>538</fpage>
<lpage>546</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0036-36342021000400538&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0036-36342021000400538&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0036-36342021000400538&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Calcular los costos del tratamiento habitual y normativo del cáncer de mama (CaMa) en el Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE).  Material y métodos:  Se utilizó la metodología de procesos, desde la perspectiva del prestador. Se identificaron los recursos utilizados durante un año de tratamiento a través de cuestionarios en línea aplicados a oncólogos (tratamiento habitual) de diferentes hospitales y a partir de la revisión de guías clínicas (tratamiento normativo).  Resultados:  El costo anual habitual fue de $113.6 millones de dólares. Los costos en hospitales regionales y generales para el estadio I son 1.23 y 1.12 mayores al de alta especialidad. Los costos en los estadios 0-II son mayores al normativo por mayor uso de consultas y quimioterapia.  Conclusiones:  El costo anual del CaMa representó 3.8% del presupuesto del ISSSTE en 2017. Incrementar la eficiencia de los recursos destinados a su tratamiento requeriría mejorar la adherencia a las guías clínicas y la detección temprana.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  To estimate the cost of common versus normative practice in the treatment of breast cancer (BrCa) at the Mexican Institute of Social Security and Services for Government Workers (ISSSTE).  Materials and methods:  A process approach from the perspective of providers. We identified the resources utilized during one year of treatment through online questionnaires administered to oncologists in various hospitals (common treatment) as well as by conducting a clinical guidelines review (normative treatment).  Results:  The cost of common treatment was USD113.6 million annually. For stage I cases, it proved 1.23 and 1.12 times higher in regional and general as opposed to highly specialized hospitals. For stages 0-II cases, it was higher than normative treatment owing to greater use of consultations and chemotherapy.  Conclusions:  BrCa accounts for 3.8% of the ISSSTE budget in 2017. Achieving greater efficiency in the use of resources allocated for BrCa treatment requires stricter adherence to clinical guidelines as well as early detection.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cáncer de mama]]></kwd>
<kwd lng="es"><![CDATA[costos de la atención en salud]]></kwd>
<kwd lng="es"><![CDATA[seguridad social]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[breast cancer]]></kwd>
<kwd lng="en"><![CDATA[healthcare costs]]></kwd>
<kwd lng="en"><![CDATA[social security]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
</kwd-group>
</article-meta>
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