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 Ultra-compact phase modulators based on graphene plasmons
27.06.2017 | ICFO-The Institute of Photonic Sciences

nachricht Smooth propagation of spin waves using gold
26.06.2017 | Toyohashi University of 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: Can we see monkeys from space? Emerging technologies to map biodiversity

An international team of scientists has proposed a new multi-disciplinary approach in which an array of new technologies will allow us to map biodiversity and the risks that wildlife is facing at the scale of whole landscapes. The findings are published in Nature Ecology and Evolution. This international research is led by the Kunming Institute of Zoology from China, University of East Anglia, University of Leicester and the Leibniz Institute for Zoo and Wildlife Research.

Using a combination of satellite and ground data, the team proposes that it is now possible to map biodiversity with an accuracy that has not been previously...

Im Focus: Climate satellite: Tracking methane with robust laser technology

Heatwaves in the Arctic, longer periods of vegetation in Europe, severe floods in West Africa – starting in 2021, scientists want to explore the emissions of the greenhouse gas methane with the German-French satellite MERLIN. This is made possible by a new robust laser system of the Fraunhofer Institute for Laser Technology ILT in Aachen, which achieves unprecedented measurement accuracy.

Methane is primarily the result of the decomposition of organic matter. The gas has a 25 times greater warming potential than carbon dioxide, but is not as...

Im Focus: How protons move through a fuel cell

Hydrogen is regarded as the energy source of the future: It is produced with solar power and can be used to generate heat and electricity in fuel cells. Empa researchers have now succeeded in decoding the movement of hydrogen ions in crystals – a key step towards more efficient energy conversion in the hydrogen industry of tomorrow.

As charge carriers, electrons and ions play the leading role in electrochemical energy storage devices and converters such as batteries and fuel cells. Proton...

Im Focus: A unique data centre for cosmological simulations

Scientists from the Excellence Cluster Universe at the Ludwig-Maximilians-Universität Munich have establised "Cosmowebportal", a unique data centre for cosmological simulations located at the Leibniz Supercomputing Centre (LRZ) of the Bavarian Academy of Sciences. The complete results of a series of large hydrodynamical cosmological simulations are available, with data volumes typically exceeding several hundred terabytes. Scientists worldwide can interactively explore these complex simulations via a web interface and directly access the results.

With current telescopes, scientists can observe our Universe’s galaxies and galaxy clusters and their distribution along an invisible cosmic web. From the...

Im Focus: Scientists develop molecular thermometer for contactless measurement using infrared light

Temperature measurements possible even on the smallest scale / Molecular ruby for use in material sciences, biology, and medicine

Chemists at Johannes Gutenberg University Mainz (JGU) in cooperation with researchers of the German Federal Institute for Materials Research and Testing (BAM)...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Plants are networkers

19.06.2017 | Event News

Digital Survival Training for Executives

13.06.2017 | Event News

Global Learning Council Summit 2017

13.06.2017 | Event News

 
Latest News

Touch Displays WAY-AX and WAY-DX by WayCon

27.06.2017 | Power and Electrical Engineering

Drones that drive

27.06.2017 | Information Technology

Ultra-compact phase modulators based on graphene plasmons

27.06.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>