Evaluating Surveillance Breast Imaging and Biopsy in Older Breast Cancer Survivors
Background. Patterns of surveillance among breast cancer survivors are not well characterized and lack evidence-based practice guidelines, particularly for imaging modalities other than mammography. We characterized breast imaging and related biopsy longitudinally among breast cancer survivors in re...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Breast Cancer |
| Online Access: | http://dx.doi.org/10.1155/2012/347646 |
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| _version_ | 1832556114935283712 |
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| author | Tracy Onega Julie Weiss Roberta diFlorio Todd MacKenzie Martha Goodrich Steven Poplack |
| author_facet | Tracy Onega Julie Weiss Roberta diFlorio Todd MacKenzie Martha Goodrich Steven Poplack |
| author_sort | Tracy Onega |
| collection | DOAJ |
| description | Background. Patterns of surveillance among breast cancer survivors are not well characterized and lack evidence-based practice guidelines, particularly for imaging modalities other than mammography. We characterized breast imaging and related biopsy longitudinally among breast cancer survivors in relation to women’s characteristics.
Methods. Using data from a state-wide (New Hampshire) breast cancer screening registry linked to Medicare claims, we examined use of mammography, ultrasound (US), magnetic resonance imaging (MRI), and biopsy among breast cancer survivors. We used generalized estimating equations (GEE) to model associations of breast surveillance with women’s characteristics. Results. The proportion of women with mammography was high over the follow-up period (81.5% at 78 months), but use of US or MRI was much lower (8.0%—first follow-up window, 4.7% by 78 months). Biopsy use was consistent throughout surveillance periods (7.4%–9.4%). Surveillance was lower among older women and for those with a higher stage of diagnosis. Primary therapy was significantly associated with greater likelihood of breast surveillance. Conclusions. Breast cancer surveillance patterns for mammography, US, MRI, and related biopsy seem to be associated with age, stage, and treatment, but need a larger evidence-base for clinical recommendations. |
| format | Article |
| id | doaj-art-54623449342d4b73ae45c0ecb908f8b8 |
| institution | Kabale University |
| issn | 2090-3170 2090-3189 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Breast Cancer |
| spelling | doaj-art-54623449342d4b73ae45c0ecb908f8b82025-02-03T05:46:20ZengWileyInternational Journal of Breast Cancer2090-31702090-31892012-01-01201210.1155/2012/347646347646Evaluating Surveillance Breast Imaging and Biopsy in Older Breast Cancer SurvivorsTracy Onega0Julie Weiss1Roberta diFlorio2Todd MacKenzie3Martha Goodrich4Steven Poplack5Department of Community and Family Medicine, Geisel School of Medicine at Darmouth, Lebanon, NH 03756, USADepartment of Community and Family Medicine, Geisel School of Medicine at Darmouth, Lebanon, NH 03756, USADepartment of Radiology, Geisel School of Medicine at Darmouth, One Medical Center Drive, Lebanon, NH 03756, USAThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Darmouth, Lebanon, NH, USADepartment of Community and Family Medicine, Geisel School of Medicine at Darmouth, Lebanon, NH 03756, USADepartment of Radiology, Geisel School of Medicine at Darmouth, One Medical Center Drive, Lebanon, NH 03756, USABackground. Patterns of surveillance among breast cancer survivors are not well characterized and lack evidence-based practice guidelines, particularly for imaging modalities other than mammography. We characterized breast imaging and related biopsy longitudinally among breast cancer survivors in relation to women’s characteristics. Methods. Using data from a state-wide (New Hampshire) breast cancer screening registry linked to Medicare claims, we examined use of mammography, ultrasound (US), magnetic resonance imaging (MRI), and biopsy among breast cancer survivors. We used generalized estimating equations (GEE) to model associations of breast surveillance with women’s characteristics. Results. The proportion of women with mammography was high over the follow-up period (81.5% at 78 months), but use of US or MRI was much lower (8.0%—first follow-up window, 4.7% by 78 months). Biopsy use was consistent throughout surveillance periods (7.4%–9.4%). Surveillance was lower among older women and for those with a higher stage of diagnosis. Primary therapy was significantly associated with greater likelihood of breast surveillance. Conclusions. Breast cancer surveillance patterns for mammography, US, MRI, and related biopsy seem to be associated with age, stage, and treatment, but need a larger evidence-base for clinical recommendations.http://dx.doi.org/10.1155/2012/347646 |
| spellingShingle | Tracy Onega Julie Weiss Roberta diFlorio Todd MacKenzie Martha Goodrich Steven Poplack Evaluating Surveillance Breast Imaging and Biopsy in Older Breast Cancer Survivors International Journal of Breast Cancer |
| title | Evaluating Surveillance Breast Imaging and Biopsy in Older Breast Cancer Survivors |
| title_full | Evaluating Surveillance Breast Imaging and Biopsy in Older Breast Cancer Survivors |
| title_fullStr | Evaluating Surveillance Breast Imaging and Biopsy in Older Breast Cancer Survivors |
| title_full_unstemmed | Evaluating Surveillance Breast Imaging and Biopsy in Older Breast Cancer Survivors |
| title_short | Evaluating Surveillance Breast Imaging and Biopsy in Older Breast Cancer Survivors |
| title_sort | evaluating surveillance breast imaging and biopsy in older breast cancer survivors |
| url | http://dx.doi.org/10.1155/2012/347646 |
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