Measuring the performance of screening mammography in community practice with medicare claims data

Women and Health

Volumn 37, Issue 2, 2003, Pages 1-15

  Freeman, Jean L ^a,b   Goodwin, James S ^a,b   Zhang, Dong ^a   Nattinger, Ann B ^c   Freeman Jr , Daniel H ^a  

^a UNIVERSITY OF TEXAS MEDICAL BRANCH   (United States)

^b University of Texas Medical Branch School of Medicine   (United States)

^c MEDICAL COLLEGE OF WISCONSIN   (United States)

Author keywords

Cancer; Mammography; Medicare; Quality of care

Indexed keywords

ANTINEOPLASTIC AGENT;

ACCREDITATION; ARTICLE; BREAST BIOPSY; BREAST CANCER; CANCER SCREENING; CLINICAL PRACTICE; CONTROLLED STUDY; COST OF ILLNESS; DATA ANALYSIS; DIAGNOSTIC TEST; ECHOMAMMOGRAPHY; FEMALE; FOLLOW UP; GROUPS BY AGE; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH INSURANCE; HUMAN; LYMPHADENECTOMY; MASTECTOMY; MEDICARE; MONITORING; OUTCOMES RESEARCH; PARTIAL MASTECTOMY; PRACTICE GUIDELINE; RADIOLOGIST; REIMBURSEMENT; SENSITIVITY AND SPECIFICITY; SYMPTOMATOLOGY;

AGED; BREAST NEOPLASMS; COMMUNITY HEALTH SERVICES; CONTINUITY OF PATIENT CARE; FALSE POSITIVE REACTIONS; FEMALE; HEALTH SERVICES RESEARCH; HUMANS; INSURANCE CLAIM REVIEW; MAMMOGRAPHY; MEDICARE; QUALITY OF HEALTH CARE; SEER PROGRAM; SENSITIVITY AND SPECIFICITY;

EID: 0037765033     PISSN: 03630242     EISSN: None     Source Type: Journal    
DOI: 10.1300/J013v37n02_01     Document Type: Article

References (60)

1. Liff JM, Chow WH, Greenberg RS. Rural-urban differences in stage at diagnosis. Possible relationship to cancer screening. Cancer 1991;67:1454.
2. Burns RB, McCarthy EP, Freund KM. Black women receive less mammography even with similar use of primary care. Ann Intern Med 1996; 125:173.
3. Chang SW, Kerlikowske K, Napoles-Springer A. Racial differences in timeliness of follow-up after abnormal screening mammography. Cancer 1996; 78: 1395.
4. Silliman RA, Guadagnoli F, Weitberg AB, Mor V. Age as a predictor of diagnostic and initial treatment intensity in newly diagnosed breast cancer patients. J Gerontol 1989;44:M46.
5. Farley TA, Flannery JT. Late-stage diagnosis of breast cancer in women of lower socioeconomic status: Public health implications. Am J Public Health 1989; 79:1508.
6. Hillner BE, Penberthy L, Desch CE. Variation in staging and treatment of local and regional breast cancer in the elderly. Breast Cancer Res Treat 1996:40:75.
7. Chiu J, Diehr P, Feigle P. The effect of age on the care of women with breast cancer in community hospitals. J Gerontol 1987;42:185.
8. Farrow DC, Hunt WC, Samet JM. Geographic variation in the treatment of localized breast cancer. N Eng J Med 1992;326:1097.
9. Nattinger AB, Gottlieb MS, Veum J. Geographic variation in the use of breast-conserving treatment for breast cancer. N Eng J Med 1992;326:1102.
10. Goodwin JS, Hunt WC, Samet JM. Determinants of cancer therapy in elderly patients. Cancer 1993;72:594.
11. Ballard-Barbash R, Potosky AL, Harlan LC. Factors associated with surgical and radiation therapy for early stage breast cancer in older women. J Natl Cancer Inst 1996;88:716.
12. Elmore JG, Barton MB, Moceri VM, Polk S, Arena PJ, Fletcher SW. Ten year risk of false positive screening mammograms and clinical breast examinations. New Engl J Med 1998;338:1089-1146.
13. Elmore JG, Wells CK, Lee CH, Howard DH, Feinstein AR. Variability in radiologists interpretations of mammograms. N Engl J Med 1994;331:1493.
14. Beam CA, Layde PM, Sullivan DC. Variability in the interpretation of screening mammograms by U.S. radiologists. Arch Intern Med 1996;156:209.
15. Feldman J, Smith RA, Giusti R, DeBuono B, Fulton JP, Scott H. Peer Review of mammography interpretations in a breast cancer screening program. Am J Public Health 1995;85:837.
16. Malin JL, Asch SM, Kerr EA, McGlynn EA. Evaluating the quality of cancer care: Development of cancer quality indicators for a global quality assessment tool. Cancer 2000;88:701-707.
17. Mandelblatt JS, Ganz PA, Kahn KL. Proposed agenda for the measurement of quality of care outcomes in oncology practice. J Clin Oncology 1999;17:2614.
18. National Committee for Quality Assurance. http://www.ncqa.org
19. Foundation for Accountability (FACCT). Measures to access quality of breast cancer care in a health care organization. http://www.facct.org
20. Institute of Medicine. Ensuring the Quality of Cancer Care. Washington DC: National Academy Press, 1999.
21. Sickles EA, Ominsky SH, Solitto RA, Galvin HB, Monticciolo DL. Medical audit of a rapid throughput mammography screening practice: methodology and results of 27,114 examinations. Radiology 1990;175:523.
22. Robertson CL. A private breast imaging practice: medical audit of 25,788 screening and 1072 diagnostic evaluations. Radiology 1993;187:75.
23. Bird R. Low-cost screening mammography: report on financing and review of 21,716 consecutive cases. Radiology 1989;171:87.
24. Moseson D. Audit of mammography in a community setting. Am J Surg 1992; 163:544.
25. Poplack SP, Tosteson AN, Grove MR, Wells WA, Carney PA. Mammography in 53,803 women from the New Hampshire Mammography Network: Radiology 2000;217:832.
26. Rosenberg RD, Lando JF, Hunt WC, Darling RR, Williamson MR, Linver MN, Gilliland FD, Key C. The New Mexico Mammography Project: Screening mammography performance in Albuquerque, New Mexico, 1991-1993. Cancer 1996; 78:1731-1739.
27. Brown ML, Houn F, Sickles EA, Kessler LG. Screening mammography in community practice: positive predictive value of abnormal findings and yield of follow-up diagnostic procedures. Am J Roentgenol 1995;165:1373.
28. Shapiro S. Evidence on screening for breast cancer from a randomized trial. Cancer 1977;39:2772.
29. Shapiro S, Venet W, Strax P, Venet L, Roeser R. Ten-to-fourteen year effect of screening on breast cancer mortality. J Natl Cancer Inst 1982;69:349.
30. Tabar L, Gagerberg CJG, Gad A. Reduction in mortality from breast cancer after mass screening with mammography. Lancet 1985;1:829.
31. Andersson J, Aspergen K, Janzon L, Lanberg T, Lindholm K, Linell F, Ljungberg O, Ranstam J, Sigfusson B. Mammographic screening and mortality from breast cancer: the Malmo mammographic screening trial. BMJ 1988;297:943.
32. Tabar L, Fagerbert G, Duffy SW, Day NE. The Swedish two-county trial of mammographic screening for breast cancer: recent results and calculation of benefit. J Epidemiol Community Health 1989;43:107.
33. Frisell J, Eklund G, Hellstrom L, Lidbrink E, Rutqvist LE, Somell A. A randomized study of mammography screening-preliminary report on mortality in the Stockholm trial. Breast Cancer Res Treat 1991;18:49.
34. Roberts MM, Alexander FE, Anderson TJ, Chatty U, Donna PT, Forrest P, Heyburn W, Huggins A, Kirkpatrick AE, Lamb J, Muir BB, Prescott RJ. Edinburgh trial of screening for breast cancer: mortality at seven years. Lancet 1990;335:241.
35. Miller AB, Banes CJ, To T, Wall C. Canadian national breast screening study: breast cancer detection and death rates among women aged 50-59 years. CMAJ 1992; 147:1477.
36. Miller AB, Baines CJ, To T, Wall C. Canadian national breast screening study: breast cancer detection and death rates among women aged 40-49 years. CMAJ 1992; 147:1459.
37. Institute of Medicine. Enhancing Data Systems to Improve the Quality of Cancer Care. National Academy Press, 2000.
38. Blustein J. Medicare coverage, supplemental insurance and the use of mammography by older women. N Engl J Med 1995;332:1138.
39. Burns RB, McCarthy EP, Freund KM, Marwill SL, Schwartz M, Ash A, Moskowitz MA. Variability in mammography use among older women. J Am Geriatr Soc 1996;44:922.
40. Ives DG, Lave JR, Traven ND, Schulz R, Kuller LH. Mammography and pap smear use by older rural women. Public Health Rep 1996;111:244.
41. Preston JA, Scinto JD, Ni W, Wang Y, Galusha D, Schulz AF, Petrillo MK. Mammography underutilization among older women in Connecticut. J Am Geriatr Soc 1997;45:1310.
42. Blustein J, Weiss LJ. The use of mammography by women aged 75 and older: factors related to health, functioning and age. J Am Geriatr Soc 1998;46:941.
43. Parker JD, Gerbretsadik T, Sabogal F, Newman J, Lawson HW. Mammography screening among California Medicare beneficiaries: 1993-1994. American Journal of Preventive Medicine beneficiaries: 1993-1994. Am J Prev Med 1998; 15:198.
44. Parker JD, Sabogal F, Gebretsadik T. Relationship between earlier and later mammography screening-California Medicare, 1992 through 1994. West J Med 1999; 170:25.
45. Smith-Bindman R, Kerlikowske K, Gebretsadik T, Newman J. Is screening mammography effective in older women? Am J Med 2000; 108:112.
46. Welch HG, Fisher ES. Diagnostic testing following screening mammography in the elderly. J Natl Cancer Inst 1998; 90:1389.
47. Hanchak NA, Kessler HB, MacPherson S, Xuan S, Solin LJ. Screening mammography: experience in a health maintenance organization. Radiology 1997;205:441.
48. Breen N, Wagener D, Davis W. Progress in cancer screening over a decade: Results of cancer screening for the 1987, 1992 and 1998 National Health Interview Survey. J Natl Cancer Inst 2001;93:1704-1713.
49. Potosky AL, Riley GF, Lubitz JD, Mentnech RM, Kessler LG. Potential for cancer related health services research using a linked Medicare-tumor registry data base. Med Care 1993;31:732.
50. Freeman JL, Zhang D, Freeman DH, Goodwin JS. An approach to identifying incident breast cancer cases using Medicare claims data. J Clin Epidemiol 2000; 53:605.
51. Freeman JL, Klabunde CN, Schussler N, Warren JL, Virnig BA, Cooper GS. Measuring breast, colorectal and prostate cancer screening with Medicare claims data. Med Care, in press.
52. Clinical practice guideline number 13: quality determinants of mammography. Rockville MD: US Dept of health and Human Services, Agency for Health Care Policy and Research; 1994. AHCPR Publication Number 96-0632.
53. Fletcher SW, Black W, Harris R, Rimer BK, Shapiro S. Report of the International Workshop on Screening for Breast Cancer. J Natl Cancer Inst 1993;85:1644.
54. Mammography Quality Standards Act: X-ray Quality Improved, Access Unaffected, but Impact on Health Outcomes Unknown. GAO/HEHS-98-164, May 8, 1998.
55. Mitnick JS, Vazquez MF, Kronovet S, Roses DF. Malpractice litigation involving patients with carcinoma of the breast. J Am Coll Surg 1995; 181:315.
56. Brenner RJ, Lucey LL, Smith JJ, Saunders R. Radiology and Medical Malpractice Claims: A report on the practice standards claims survey of the Physician Insurers Association of America and the American College of Radiology. Am J Roentgenol 1998;171:19.
57. Brenner RJ. False-negative mammograms: Medical, legal and risk management implications. Rad Clin North Am 2000;38:741.
58. Elmore JG, Wells CG, Howard DH. Does diagnostic accuracy in mammography depend on radiologists' experience? J Womens Health 1998;7:443.
59. Warren JL, Feuer E, Potosky AL, Riley GF, Lynch CF. Use of Medicare hospital and physician data to assess breast cancer incidence. Med Care 1999;37:445.
60. Warren JL, Riley GF, McBean AM, Hakim R. Use of Medicare data to identify incident breast cancer cases. Health Care Financ Rev 1996;18:237.