Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Older breast cancer survivors shared care study

20.03.2006


Mammography rates better with shared care



If follow-up mammography is an indicator of quality breast cancer care, then older survivors who receive shared care--provided by both a primary care physician and a cancer specialist--are better cared for than those who don’t.

A study at the Medical College of Wisconsin Center for Patient Care and Outcomes Research in Milwaukee revealed that about two-thirds of elderly breast cancer survivors underwent shared care in the first three years after treatment, and that they had higher mammography rates in all three years (84, 81, and 78.6 percent, respectively) than survivors who saw only a specialist or generalist (not both). Mammography rates for the later group were only 76.3, 70.05 and 66 percent, respectively, for the three years of the study.


The team looked at National Cancer Institute Surveillance, Epidemiology, and End-Result (SEER) data, linked to U.S. Census and Medicare data to evaluate 3,828 older women diagnosed with either in situ, stage I or Stage II breast cancer in 1995. The routine follow-up care these women received was assessed for three years after their cancer was treated.

Disturbingly, the researchers also found that under-use of mammography was most common among women at greatest risk of recurrence: those treated with breast-conserving surgery without radiation, and those with stage II disease. The study appears in the online March 15, issue of Breast Cancer Research and Treatment.

While there are no major studies comparing breast cancer survivors undergoing surveillance mammography with those who don’t, screening mammography is thought to be critical for the early detection of either recurrent disease or of new, primary tumors.

"Previous studies have shown that over one-third of breast cancer survivors do not receive annual mammography after treatment, so we know that there are problems with the quality of follow-up care for survivors," says co-author Kenneth Schellhase, M.D., M.P.H., assistant professor of family & community medicine. "However the best approach for delivering such care remains unclear. We wondered whether the specialty of the physician made a difference, so we evaluated mammography use among survivors followed by primary care physicians, cancer specialists, or both. Our results are encouraging that primary care physicians and specialists who cooperate in the care of breast cancer survivors can deliver better quality care."

All women in the study were age 66 or older, and a majority was white and lived in urban areas The SEER Data covered five states and six metropolitan areas, representing 14 percent of the US population. Medicare claims data were used to measure each patient’s health care utilization, such as office visits (a total of 123,595 for the 3,828 women) or mammograms. U.S. Census files were used to estimate socioeconomic characteristics for study subjects and the American Medical Association Master File to determine the specialties of the 4,084 physicians involved.

Medical College student Ann Etim was first author of the study. This research was funded by the National Cancer Institute. Biostatistician Rodney Sparapani, M.S., and Lady Riders Professor in Breast Cancer Research Ann B. Nattinger, M.D., MPH, professor of medicine, chief of general internal medicine, and director of the Center for Patient Care and Outcomes Research, were co-investigators.

Eileen LaSusa | EurekAlert!
Further information:
http://www.mcw.edu

More articles from Physics and Astronomy:

nachricht Engineering team images tiny quasicrystals as they form
18.08.2017 | Cornell University

nachricht Astrophysicists explain the mysterious behavior of cosmic rays
18.08.2017 | Moscow Institute of Physics and Technology

All articles from Physics and Astronomy >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Fizzy soda water could be key to clean manufacture of flat wonder material: Graphene

Whether you call it effervescent, fizzy, or sparkling, carbonated water is making a comeback as a beverage. Aside from quenching thirst, researchers at the University of Illinois at Urbana-Champaign have discovered a new use for these "bubbly" concoctions that will have major impact on the manufacturer of the world's thinnest, flattest, and one most useful materials -- graphene.

As graphene's popularity grows as an advanced "wonder" material, the speed and quality at which it can be manufactured will be paramount. With that in mind,...

Im Focus: Exotic quantum states made from light: Physicists create optical “wells” for a super-photon

Physicists at the University of Bonn have managed to create optical hollows and more complex patterns into which the light of a Bose-Einstein condensate flows. The creation of such highly low-loss structures for light is a prerequisite for complex light circuits, such as for quantum information processing for a new generation of computers. The researchers are now presenting their results in the journal Nature Photonics.

Light particles (photons) occur as tiny, indivisible portions. Many thousands of these light portions can be merged to form a single super-photon if they are...

Im Focus: Circular RNA linked to brain function

For the first time, scientists have shown that circular RNA is linked to brain function. When a RNA molecule called Cdr1as was deleted from the genome of mice, the animals had problems filtering out unnecessary information – like patients suffering from neuropsychiatric disorders.

While hundreds of circular RNAs (circRNAs) are abundant in mammalian brains, one big question has remained unanswered: What are they actually good for? In the...

Im Focus: RAVAN CubeSat measures Earth's outgoing energy

An experimental small satellite has successfully collected and delivered data on a key measurement for predicting changes in Earth's climate.

The Radiometer Assessment using Vertically Aligned Nanotubes (RAVAN) CubeSat was launched into low-Earth orbit on Nov. 11, 2016, in order to test new...

Im Focus: Scientists shine new light on the “other high temperature superconductor”

A study led by scientists of the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) at the Center for Free-Electron Laser Science in Hamburg presents evidence of the coexistence of superconductivity and “charge-density-waves” in compounds of the poorly-studied family of bismuthates. This observation opens up new perspectives for a deeper understanding of the phenomenon of high-temperature superconductivity, a topic which is at the core of condensed matter research since more than 30 years. The paper by Nicoletti et al has been published in the PNAS.

Since the beginning of the 20th century, superconductivity had been observed in some metals at temperatures only a few degrees above the absolute zero (minus...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Call for Papers – ICNFT 2018, 5th International Conference on New Forming Technology

16.08.2017 | Event News

Sustainability is the business model of tomorrow

04.08.2017 | Event News

Clash of Realities 2017: Registration now open. International Conference at TH Köln

26.07.2017 | Event News

 
Latest News

A Map of the Cell’s Power Station

18.08.2017 | Life Sciences

Engineering team images tiny quasicrystals as they form

18.08.2017 | Physics and Astronomy

Researchers printed graphene-like materials with inkjet

18.08.2017 | Materials Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>