Diffusion of digital breast tomosynthesis among women in primary care: associations with insurance type
| Autor: | Tor D. Tosteson, Kimberly Harris, Tracy Onega, Cheryl R. Clark, Anna N. A. Tosteson, Jennifer S. Haas, Julie Weiss |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Cancer Research medicine.medical_specialty Pediatrics Digital mammography Access to care Breast Neoplasms digital breast tomosynthesis (DBT) Insurance type Medicare digital mammography (DM) 030218 nuclear medicine & medical imaging 03 medical and health sciences Breast cancer screening 0302 clinical medicine Cancer screening medicine Humans Radiology Nuclear Medicine and imaging Medical physics Early Detection of Cancer Original Research health disparities Aged Aged 80 and over Insurance Health Primary Health Care medicine.diagnostic_test Medicaid business.industry Repeated measures design Digital Breast Tomosynthesis Middle Aged United States Health equity 3. Good health Oncology cancer screening 030220 oncology & carcinogenesis Female business Cancer Prevention Mammography |
| Zdroj: | Cancer Medicine |
| ISSN: | 2045-7634 |
| DOI: | 10.1002/cam4.1036 |
| Popis: | Digital breast tomosynthesis (DBT) has shown potential to improve breast cancer screening and diagnosis compared to digital mammography (DM). The FDA approved DBT use in conjunction with conventional DM in 2011, but coverage was approved by CMS recently in 2015. Given changes in coverage policies, it is important to monitor diffusion of DBT by insurance type. This study examined DBT trends and estimated associations with insurance type. From June 2011 to September 2014, DBT use in 22 primary care centers in the Dartmouth ‐Brigham and Women's Hospital Population‐based Research Optimizing Screening through Personalized Regimens research center (PROSPR) was examined among women aged 40–89. A longitudinal repeated measures analysis estimated the proportion of DBT performed for screening or diagnostic indications over time and by insurance type. During the study period, 93,182 mammograms were performed on 48,234 women. Of these exams, 16,506 DBT tests were performed for screening (18.1%) and 2537 were performed for diagnosis (15.7%). Between 2011 and 2014, DBT utilization increased in all insurance groups. However, by the latest observed period, screening DBT was used more frequently under private insurance (43.4%) than Medicaid (36.2%), Medicare (37.8%), other (38.6%), or no insurance (32.9%; P |
| Databáze: | OpenAIRE |
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