{"id":"https://openalex.org/W7140197971","doi":"https://doi.org/10.1016/j.clbc.2026.03.013","title":"Cost-Minimization Analysis of Vacuum-Assisted Biopsy Versus Surgical Biopsy for the Diagnosis of Suspicious Breast Lesions in the Brazilian Public Health System","display_name":"Cost-Minimization Analysis of Vacuum-Assisted Biopsy Versus Surgical Biopsy for the Diagnosis of Suspicious Breast Lesions in the Brazilian Public Health System","publication_year":2026,"publication_date":"2026-03-24","ids":{"openalex":"https://openalex.org/W7140197971","doi":"https://doi.org/10.1016/j.clbc.2026.03.013","pmid":"https://pubmed.ncbi.nlm.nih.gov/42025575"},"language":"en","primary_location":{"id":"doi:10.1016/j.clbc.2026.03.013","doi":"https://doi.org/10.1016/j.clbc.2026.03.013","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.clbc.2026.03.013","pdf_url":"https://www.clinical-breast-cancer.com/article/S1526-8209(26)00046-7/pdf","source":{"id":"https://openalex.org/S57202346","display_name":"Clinical Breast Cancer","issn_l":"1526-8209","issn":["1526-8209","1938-0666"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Breast Cancer","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.clinical-breast-cancer.com/article/S1526-8209(26)00046-7/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113197773","display_name":"Andressa Gon\u00e7alves Amorim","orcid":"https://orcid.org/0000-0002-3077-5873","observed_orcids":["https://orcid.org/0000-0002-3077-5873"]},"institutions":[{"id":"https://openalex.org/I4210149451","display_name":"Hospital do Servidor P\u00fablico Estadual","ror":"https://ror.org/04r1rhv60","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210149451","https://openalex.org/I4401200253"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Andressa Gon\u00e7alves Amorim","raw_affiliation_strings":["Department of Breast Surgery, Hospital do Servidor P\u00fablico Estadual, Francisco Morato de Oliveira, S\u00e3o Paulo, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Hospital do Servidor P\u00fablico Estadual, Francisco Morato de Oliveira, S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I4210149451"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067005182","display_name":"Eduardo Camargo Millen","orcid":"https://orcid.org/0000-0002-2113-6324","observed_orcids":["https://orcid.org/0000-0002-2113-6324"]},"institutions":[{"id":"https://openalex.org/I4210143548","display_name":"Hospital da Mulher S\u00e3o Paulo","ror":"https://ror.org/0495f8j82","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210143548"]},{"id":"https://openalex.org/I4405254708","display_name":"Centro de Refer\u00eancia da Sa\u00fade da Mulher - Hospital da Mulher S\u00e3o Paulo","ror":"https://ror.org/024stfn38","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4405254708"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Andr\u00e9 Mattar","raw_affiliation_strings":["Department of Breast Surgery, Hospital da Mulher, S\u00e3o Paulo, Brazil; Department of Translacional Surgery, UNIFESP, S\u00e3o Paulo, Brazil; BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil. Electronic address: https://twitter.com/Mattar_Andr\u00e9"],"raw_orcid":"https://orcid.org/0000-0002-2113-6324","affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Hospital da Mulher, S\u00e3o Paulo, Brazil; Department of Translacional Surgery, UNIFESP, S\u00e3o Paulo, Brazil; BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil. Electronic address: https://twitter.com/Mattar_Andr\u00e9","institution_ids":["https://openalex.org/I4210143548","https://openalex.org/I4405254708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015150057","display_name":"Marcelo Antonini","orcid":"https://orcid.org/0000-0002-1996-7428","observed_orcids":["https://orcid.org/0000-0002-1996-7428"]},"institutions":[{"id":"https://openalex.org/I4210149451","display_name":"Hospital do Servidor P\u00fablico Estadual","ror":"https://ror.org/04r1rhv60","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210149451","https://openalex.org/I4401200253"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Marcelo Antonini","raw_affiliation_strings":["Department of Breast Surgery, Hospital do Servidor P\u00fablico Estadual, Francisco Morato de Oliveira, S\u00e3o Paulo, Brazil; BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil. Electronic address: celoantonini@uol.com.br"],"raw_orcid":"https://orcid.org/0000-0002-1996-7428","affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Hospital do Servidor P\u00fablico Estadual, Francisco Morato de Oliveira, S\u00e3o Paulo, Brazil; BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil. Electronic address: celoantonini@uol.com.br","institution_ids":["https://openalex.org/I4210149451"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5146715811","display_name":"Claudia Ribeiro Martins Cabrera","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Claudia Ribeiro Martins Cabrera","raw_affiliation_strings":["Department of Breast Surgery, Faculdade Israelita de Ci\u00eancias da Sa\u00fade Albert Einstein (FICSAE), S\u00e3o Paulo, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Faculdade Israelita de Ci\u00eancias da Sa\u00fade Albert Einstein (FICSAE), S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008441303","display_name":"Marina Di\u00f3genes Teixeira","orcid":"https://orcid.org/0009-0001-7516-0215","observed_orcids":["https://orcid.org/0009-0001-7516-0215"]},"institutions":[{"id":"https://openalex.org/I4210149451","display_name":"Hospital do Servidor P\u00fablico Estadual","ror":"https://ror.org/04r1rhv60","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210149451","https://openalex.org/I4401200253"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Marina Di\u00f3genes Teixeira","raw_affiliation_strings":["Department of Breast Surgery, Hospital do Servidor P\u00fablico Estadual, Francisco Morato de Oliveira, S\u00e3o Paulo, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Hospital do Servidor P\u00fablico Estadual, Francisco Morato de Oliveira, S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I4210149451"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017432065","display_name":"Francisco Pimentel Cavalcante","orcid":"https://orcid.org/0000-0002-7156-2890","observed_orcids":["https://orcid.org/0000-0002-7156-2890"]},"institutions":[{"id":"https://openalex.org/I4210165349","display_name":"Hospital Geral de Fortaleza","ror":"https://ror.org/05megpp22","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210165349"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Francisco Pimentel Cavalcante","raw_affiliation_strings":["BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil; Department of Breast Surgery, Hospital Geral de Fortaleza, Fortaleza, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil; Department of Breast Surgery, Hospital Geral de Fortaleza, Fortaleza, Brazil","institution_ids":["https://openalex.org/I4210165349"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011577677","display_name":"Felipe Zerwes","orcid":"https://orcid.org/0000-0002-1643-727X","observed_orcids":["https://orcid.org/0000-0002-1643-727X"]},"institutions":[{"id":"https://openalex.org/I45643870","display_name":"Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul","ror":"https://ror.org/025vmq686","country_code":"BR","type":"education","lineage":["https://openalex.org/I45643870"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Felipe Pereira Zerwes","raw_affiliation_strings":["BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil; Department of Breast Surgery, Pontificia Universidade Cat\u00f3lica do Rio Grande do Sul, S\u00e3o Paulo, Brazil; Grupo Oncoclinicas-RS, Porto Alegre, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil; Department of Breast Surgery, Pontificia Universidade Cat\u00f3lica do Rio Grande do Sul, S\u00e3o Paulo, Brazil; Grupo Oncoclinicas-RS, Porto Alegre, Brazil","institution_ids":["https://openalex.org/I45643870"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5118910007","display_name":"Eduardo Camargo Millen","orcid":"https://orcid.org/0000-0002-2113-6324","observed_orcids":["https://orcid.org/0000-0002-2113-6324"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Eduardo Camargo Millen","raw_affiliation_strings":["BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil; Americas Oncologia, Rio de Janeiro, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil; Americas Oncologia, Rio de Janeiro, Brazil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010574106","display_name":"Fabr\u00edcio Palermo Brenelli","orcid":"https://orcid.org/0000-0003-0589-1423","observed_orcids":["https://orcid.org/0000-0003-0589-1423"]},"institutions":[{"id":"https://openalex.org/I181391015","display_name":"Universidade Estadual de Campinas (UNICAMP)","ror":"https://ror.org/04wffgt70","country_code":"BR","type":"education","lineage":["https://openalex.org/I181391015"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Fabricio Palermo Brenelli","raw_affiliation_strings":["BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil; Department of Breast Surgery, Universidade Estadual de Campinas, Campinas, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil; Department of Breast Surgery, Universidade Estadual de Campinas, Campinas, Brazil","institution_ids":["https://openalex.org/I181391015"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015873684","display_name":"Ant\u00f4nio Luiz Frasson","orcid":"https://orcid.org/0000-0003-1860-6898","observed_orcids":["https://orcid.org/0000-0003-1860-6898"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ant\u00f4nio Luiz Frasson","raw_affiliation_strings":["BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil; Hospital Israelita Albert Einstein, S\u00e3o Paulo, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BBREAST - Brazilian Breast Cancer Research Association, S\u00e3o Paulo, Brazil; Hospital Israelita Albert Einstein, S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046347898","display_name":"Marcelo Madeira","orcid":"https://orcid.org/0000-0001-9429-3067","observed_orcids":["https://orcid.org/0000-0001-9429-3067"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Marcelo Madeira","raw_affiliation_strings":["Department of Breast Surgery, Faculdade Israelita de Ci\u00eancias da Sa\u00fade Albert Einstein (FICSAE), S\u00e3o Paulo, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Faculdade Israelita de Ci\u00eancias da Sa\u00fade Albert Einstein (FICSAE), S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051231515","display_name":"Gil Facina","orcid":"https://orcid.org/0000-0003-1418-0295","observed_orcids":["https://orcid.org/0000-0003-1418-0295"]},"institutions":[{"id":"https://openalex.org/I88273585","display_name":"Universidade Federal de S\u00e3o Paulo","ror":"https://ror.org/02k5swt12","country_code":"BR","type":"education","lineage":["https://openalex.org/I88273585"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Gil Facina","raw_affiliation_strings":["Department of Breast Surgery, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I88273585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005043985","display_name":"Henrique Lima Couto","orcid":"https://orcid.org/0000-0002-3789-4461","observed_orcids":["https://orcid.org/0000-0002-3789-4461"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Henrique Lima Couto","raw_affiliation_strings":["Redimama - Redimasto, Belo Horizonte, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Redimama - Redimasto, Belo Horizonte, Brazil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021647126","display_name":"Marcellus do Nascimento Moreira Ramos","orcid":"https://orcid.org/0009-0007-5486-118X","observed_orcids":["https://orcid.org/0009-0007-5486-118X"]},"institutions":[{"id":"https://openalex.org/I4210149451","display_name":"Hospital do Servidor P\u00fablico Estadual","ror":"https://ror.org/04r1rhv60","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210149451","https://openalex.org/I4401200253"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Marcellus do Nascimento Moreira Ramos","raw_affiliation_strings":["Department of Breast Surgery, Hospital do Servidor P\u00fablico Estadual, Francisco Morato de Oliveira, S\u00e3o Paulo, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Hospital do Servidor P\u00fablico Estadual, Francisco Morato de Oliveira, S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I4210149451"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067247560","display_name":"Patricia Rodrigues Alves de Figueiredo Moraes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210143548","display_name":"Hospital da Mulher S\u00e3o Paulo","ror":"https://ror.org/0495f8j82","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210143548"]},{"id":"https://openalex.org/I4405254708","display_name":"Centro de Refer\u00eancia da Sa\u00fade da Mulher - Hospital da Mulher S\u00e3o Paulo","ror":"https://ror.org/024stfn38","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4405254708"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Patr\u00edcia Rodrigues Alves de Figueiredo Moraes","raw_affiliation_strings":["Department of Breast Surgery, Hospital da Mulher, S\u00e3o Paulo, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Hospital da Mulher, S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I4210143548","https://openalex.org/I4405254708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105592711","display_name":"Marina Fleury de Figueiredo","orcid":"https://orcid.org/0009-0008-5246-4575","observed_orcids":["https://orcid.org/0009-0008-5246-4575"]},"institutions":[{"id":"https://openalex.org/I4210143548","display_name":"Hospital da Mulher S\u00e3o Paulo","ror":"https://ror.org/0495f8j82","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210143548"]},{"id":"https://openalex.org/I4405254708","display_name":"Centro de Refer\u00eancia da Sa\u00fade da Mulher - Hospital da Mulher S\u00e3o Paulo","ror":"https://ror.org/024stfn38","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4405254708"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Marina Fleury de Figueiredo","raw_affiliation_strings":["Department of Breast Surgery, Hospital da Mulher, S\u00e3o Paulo, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Hospital da Mulher, S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I4210143548","https://openalex.org/I4405254708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039543142","display_name":"Reginaldo Guedes Coelho Lopes","orcid":"https://orcid.org/0000-0002-7735-8698","observed_orcids":["https://orcid.org/0000-0002-7735-8698"]},"institutions":[{"id":"https://openalex.org/I4210149451","display_name":"Hospital do Servidor P\u00fablico Estadual","ror":"https://ror.org/04r1rhv60","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210149451","https://openalex.org/I4401200253"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Reginaldo Guedes Coelho Lopes","raw_affiliation_strings":["Department of Breast Surgery, Hospital do Servidor P\u00fablico Estadual, Francisco Morato de Oliveira, S\u00e3o Paulo, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Hospital do Servidor P\u00fablico Estadual, Francisco Morato de Oliveira, S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I4210149451"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5011030555","display_name":"Lu\u00edz Henrique Gebrim","orcid":"https://orcid.org/0000-0001-9941-9191","observed_orcids":["https://orcid.org/0000-0001-9941-9191"]},"institutions":[{"id":"https://openalex.org/I4210114248","display_name":"Benefic\u00eancia Portuguesa de S\u00e3o Paulo","ror":"https://ror.org/02d7mxj93","country_code":"BR","type":"nonprofit","lineage":["https://openalex.org/I4210114248"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Luiz Henrique Gebrim","raw_affiliation_strings":["Beneficiencia Portuguesa de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Beneficiencia Portuguesa de S\u00e3o Paulo, S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I4210114248"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":9,"corresponding_author_ids":["https://openalex.org/A5067005182"],"corresponding_institution_ids":["https://openalex.org/I4210143548","https://openalex.org/I4405254708"],"apc_list":{"value":3470,"currency":"USD","value_usd":3470},"apc_paid":{"value":3470,"currency":"USD","value_usd":3470},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.13242231,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"26","issue":"5","first_page":"130","last_page":"139.e1"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.6782000064849854,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.6782000064849854,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":0.21410000324249268,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.04349999874830246,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vacuum-assisted-biopsy","display_name":"vacuum-assisted biopsy","score":0.8809999823570251},{"id":"https://openalex.org/keywords/surgical-biopsy","display_name":"surgical biopsy","score":0.9210000038146973},{"id":"https://openalex.org/keywords/breast-cancer-diagnosis","display_name":"breast cancer diagnosis","score":0.7129999995231628},{"id":"https://openalex.org/keywords/cost-minimization-analysis","display_name":"cost-minimization analysis","score":0.7379999756813049},{"id":"https://openalex.org/keywords/public-health-system","display_name":"public health system","score":0.5080000162124634},{"id":"https://openalex.org/keywords/reimbursement-costs","display_name":"reimbursement costs","score":0.5040000081062317},{"id":"https://openalex.org/keywords/productivity-loss","display_name":"productivity loss","score":0.7269999980926514},{"id":"https://openalex.org/keywords/minimally-invasive-breast-biopsy","display_name":"minimally invasive breast biopsy","score":0.6740000247955322},{"id":"https://openalex.org/keywords/brazil","display_name":"Brazil","score":0.3409999907016754}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9829999804496765},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.6413000226020813},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.6044999957084656},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5903000235557556},{"id":"https://openalex.org/C2777517664","wikidata":"https://www.wikidata.org/wiki/Q4959785","display_name":"Breast biopsy","level":5,"score":0.49320000410079956},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.44859999418258667},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.44269999861717224},{"id":"https://openalex.org/C2992613538","wikidata":"https://www.wikidata.org/wiki/Q180071","display_name":"Needle biopsy","level":3,"score":0.3709999918937683},{"id":"https://openalex.org/C3020063470","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgical excision","level":2,"score":0.35109999775886536},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.31139999628067017},{"id":"https://openalex.org/C3020562746","wikidata":"https://www.wikidata.org/wiki/Q7446275","display_name":"Surgical resection","level":2,"score":0.2985000014305115},{"id":"https://openalex.org/C2777757722","wikidata":"https://www.wikidata.org/wiki/Q848318","display_name":"Mastectomy","level":4,"score":0.2872999906539917},{"id":"https://openalex.org/C2778001805","wikidata":"https://www.wikidata.org/wiki/Q189961","display_name":"Mammary gland","level":4,"score":0.2865999937057495},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.2766000032424927},{"id":"https://openalex.org/C2777704003","wikidata":"https://www.wikidata.org/wiki/Q4959802","display_name":"Breast surgery","level":4,"score":0.2743000090122223},{"id":"https://openalex.org/C2780472235","wikidata":"https://www.wikidata.org/wiki/Q324634","display_name":"Mammography","level":4,"score":0.2612999975681305},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2605000138282776},{"id":"https://openalex.org/C2781001896","wikidata":"https://www.wikidata.org/wiki/Q994507","display_name":"Breast reconstruction","level":4,"score":0.2581000030040741},{"id":"https://openalex.org/C2779880527","wikidata":"https://www.wikidata.org/wiki/Q4959796","display_name":"Breast disease","level":4,"score":0.2524999976158142}],"mesh":[{"descriptor_ui":"D001706","descriptor_name":"Biopsy","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D001706","descriptor_name":"Biopsy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D001938","descriptor_name":"Brazil","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008327","descriptor_name":"Mammography","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014618","descriptor_name":"Vacuum","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.clbc.2026.03.013","doi":"https://doi.org/10.1016/j.clbc.2026.03.013","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.clbc.2026.03.013","pdf_url":"https://www.clinical-breast-cancer.com/article/S1526-8209(26)00046-7/pdf","source":{"id":"https://openalex.org/S57202346","display_name":"Clinical Breast Cancer","issn_l":"1526-8209","issn":["1526-8209","1938-0666"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Breast Cancer","raw_type":"journal-article"},{"id":"pmid:42025575","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42025575","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical breast cancer","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1016/j.clbc.2026.03.013","doi":"https://doi.org/10.1016/j.clbc.2026.03.013","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.clbc.2026.03.013","pdf_url":"https://www.clinical-breast-cancer.com/article/S1526-8209(26)00046-7/pdf","source":{"id":"https://openalex.org/S57202346","display_name":"Clinical Breast Cancer","issn_l":"1526-8209","issn":["1526-8209","1938-0666"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Breast Cancer","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9476000070571899,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320307758","display_name":"Eli Lilly and Company","ror":"https://ror.org/01qat3289"},{"id":"https://openalex.org/F4320307770","display_name":"AstraZeneca","ror":"https://ror.org/04r9x1a08"},{"id":"https://openalex.org/F4320338262","display_name":"Daiichi Sankyo Europe","ror":"https://ror.org/01qhj1g70"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7140197971.pdf","grobid_xml":"https://content.openalex.org/works/W7140197971.grobid-xml"},"referenced_works_count":22,"referenced_works":["https://openalex.org/W1506834899","https://openalex.org/W1581592927","https://openalex.org/W1941169523","https://openalex.org/W1989253600","https://openalex.org/W2071803877","https://openalex.org/W2169666080","https://openalex.org/W2198150247","https://openalex.org/W2275737843","https://openalex.org/W2400734487","https://openalex.org/W2556947865","https://openalex.org/W2775756952","https://openalex.org/W2821822094","https://openalex.org/W3015917309","https://openalex.org/W3020983734","https://openalex.org/W3162543922","https://openalex.org/W4206006624","https://openalex.org/W4226175635","https://openalex.org/W4319302882","https://openalex.org/W4385785989","https://openalex.org/W4392900551","https://openalex.org/W4399686979","https://openalex.org/W4407870211"],"related_works":["https://openalex.org/W7129733346","https://openalex.org/W4391185896","https://openalex.org/W4210262115","https://openalex.org/W2947768137","https://openalex.org/W3006100506","https://openalex.org/W1581592927","https://openalex.org/W4417422414","https://openalex.org/W2810946202","https://openalex.org/W1530345214","https://openalex.org/W2590031694"],"abstract_inverted_index":{"BACKGROUND:":[0],"Breast":[1],"biopsy":[2,15,25,82],"is":[3],"important":[4],"in":[5,44,243],"the":[6,60,131,147,168,194],"diagnostic":[7,98,215],"pathway":[8],"for":[9],"suspicious":[10],"mammographic":[11],"findings.":[12],"Although":[13],"vacuum-assisted":[14],"(VAB)":[16],"offers":[17],"recognized":[18],"technical":[19],"and":[20,30,46,57,116,120,162,190,221,240],"clinical":[21],"advantages":[22],"over":[23],"surgical":[24],"(SB),":[26],"including":[27],"reduced":[28],"invasiveness":[29],"faster":[31],"recovery,":[32],"its":[33],"economic":[34],"impact":[35],"within":[36,59],"public":[37,62,88,109,206],"healthcare":[38,63,207],"systems":[39],"remains":[40],"insufficiently":[41],"characterized,":[42],"especially":[43],"low-":[45],"middle-income":[47],"countries.":[48],"METHODS:":[49],"We":[50],"performed":[51],"a":[52,70,86,205,211],"cost-minimization":[53],"analysis":[54],"comparing":[55],"VAB":[56,134,172,209],"SB":[58,218],"Brazilian":[61],"system.":[64],"A":[65],"decision":[66],"tree":[67],"model":[68,127],"with":[69,144,175,180,232],"1-month":[71],"time":[72],"horizon":[73],"was":[74,93,173],"developed":[75],"using":[76],"real-world":[77],"data":[78],"from":[79,105,167,219],"1833":[80],"consecutive":[81],"procedures":[83],"conducted":[84,124],"at":[85],"high-volume":[87],"cancer":[89,245],"center.":[90],"Clinical":[91],"equivalence":[92],"assumed":[94],"based":[95],"on":[96],"comparable":[97],"accuracy":[99],"between":[100],"techniques.":[101],"Costs":[102],"were":[103,123],"assessed":[104],"institutional":[106,132,220],"(hospital":[107],"provider),":[108],"payer":[110,170],"(Sistema":[111],"\u00danico":[112],"de":[113],"Sa\u00fade":[114],"[SUS]),":[115],"societal.":[117],"Deterministic":[118],"sensitivity":[119],"break-even":[121,191],"analyses":[122,192],"to":[125],"test":[126],"robustness.":[128],"RESULTS:":[129],"From":[130,146],"perspective,":[133,149,171],"generated":[135],"mean":[136],"savings":[137,150],"of":[138,184,196],"USD":[139,152,185],"223":[140],"per":[141,154,187],"patient":[142],"compared":[143],"SB.":[145],"societal":[148,222],"reached":[151],"353":[153],"patient,":[155],"largely":[156],"driven":[157],"by":[158],"shorter":[159],"recovery":[160],"times":[161],"lower":[163],"productivity":[164],"losses.":[165],"Conversely,":[166],"SUS":[169],"associated":[174],"higher":[176,225],"direct":[177],"reimbursement":[178,227],"costs,":[179],"an":[181],"incremental":[182],"cost":[183],"146":[186],"patient.":[188],"Sensitivity":[189],"confirmed":[193],"stability":[195],"these":[197],"findings":[198],"across":[199],"wide":[200],"parameter":[201],"variations.":[202],"CONCLUSION:":[203],"Within":[204],"setting,":[208],"represents":[210],"more":[212],"economically":[213],"efficient":[214],"strategy":[216],"than":[217],"perspectives,":[223],"despite":[224],"upfront":[226],"costs.":[228],"Aligning":[229],"payment":[230],"policies":[231],"high-value,":[233],"minimally":[234],"invasive":[235],"approaches":[236],"may":[237],"improve":[238],"efficiency":[239],"equitable":[241],"access":[242],"breast":[244],"diagnosis.":[246]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-03-25T00:00:00"}
