Faculty Collaboration Database

Effect of model of care delivery on mammography use among elderly breast cancer survivors. Breast Cancer Res Treat 2006 Apr;96(3):293-9

Date

03/16/2006

Pubmed ID

16538537

DOI

10.1007/s10549-005-9141-4

Scopus ID

2-s2.0-33645720262 (requires institutional sign-in at Scopus site)   22 Citations

Abstract

BACKGROUND: Despite gaps in the quality of follow-up care for breast cancer survivors, the most effective model for such care remains unclear. We evaluated receipt of mammography among survivors followed by generalist physicians, specialists, or both (referred to as 'shared care').

METHODS: We used Surveillance, Epidemiology, and End Results tumor registry data and Medicare claims to study 3828 older women, diagnosed with breast cancer in 1995.

RESULTS: During the first 3 years after treatment, about two-thirds of patients underwent shared care. Use of mammography in such patients was 84.0, 81.0 and 78.6% in follow-up years 1-3 respectively. For patients not using shared care, use of mammography was 76.3, 70.5, 66.0% in years 1-3 respectively. In a multivariate logistic regression model, women receiving shared care had substantially greater mammography use than others, with an odds ratio of 2.13 (95% CI: 1.74, 2.58) in the first follow-up year and similar odds ratios in subsequent follow-up years.

CONCLUSIONS: Most older breast cancer survivors undergo shared care. These patients receive better quality of care as measured by follow-up mammography.

Author List

Etim AE, Schellhase KG, Sparapani R, Nattinger AB

Authors

Ann B. Nattinger MD, MPH Associate Provost, Professor in the Medicine department at Medical College of Wisconsin
Rodney Sparapani PhD Associate Professor in the Data Science Institute department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aged
Breast Neoplasms
Delivery of Health Care
Female
Follow-Up Studies
Humans
Mammography
SEER Program
Survivors