Potential Overuse of Screening Mammography and Its Association With Access to Primary Care
Bibliographic Data
| ID | 9102505 |
|---|---|
| Authors | Alai Tan (0000-0002-2907-9088, John Sealy Hospital, corresponding author), Yong-Fang Kuo (0000-0003-1927-0927, John Sealy Hospital, corresponding author), James S Goodwin (0000-0001-5507-1613, General Department of Preventive Medicine, corresponding author) |
| Year | 2014 |
| Volume | 52 |
| Issue | 6 |
| Pages | 490-495 |
| Publication date | 2014-06-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000115 |
| PMID | 24828844 |
| PMCID | PMC4158454 |
| OpenAlex | W1985031110 |
| Language | EN |
| Citations received | 5 |
| References cited | 16 |
BACKGROUND: Cancer screening in individuals with limited life expectancy increases the risk of diagnosis and treatment of cancer that otherwise would not have become clinically apparent. OBJECTIVE: To estimate screening mammography use in women with limited life expectancy, its geographic variation, and association with access to primary care and mammographic resources. METHODS: We assessed screening mammography use in 2008-2009 in 106,737 women aged 66 years or older with an estimated life expectancy of 1 generalist physician and who had more visits to generalist physicians. There was substantial geographic variation across the United States, with an average rate of 39.5% in the hospital referral regions (HRRs) in the top decile of screening versus 19.5% in the HRRs in the bottom decile. The screening rates were higher among HRRs with more primary care physicians (r=0.14, P=0.02), mammography facilities (r=0.12, P=0.04), and radiologists (r=0.22, P<0.001). CONCLUSIONS: Substantial proportions of women with limited life expectancy receive screening mammography. Results presented sound a cautionary note that greater access to primary care and mammographic resources is also associated with higher overuse
Breast cancer · Breast cancer screening · Cancer · Cancer screening · Decile · Environmental health · Family medicine · Life expectancy · Mammography · Mammography screening · Population · Primary care · Referral · Screening mammography · Colorectal Cancer Screening and Detection · Demography · Global Cancer Incidence and Screening · Healthcare cost, quality, practices · Internal Medicine · Medicine
Evidence for overuse of medical services around the world
Comparison of Cancer-Related Spending and Mortality Rates in the US vs 21 High-Income Countries
Antenatal screening practices in the WHO European Region
Overuse of Health Care Services in the Management of Cancer
Quantifying the financial impact of overuse in primary care in China
| Unique citing works | 5 |
|---|---|
| Citations per year | 0,56 |
| Citation span | 2017 - 2023 (7) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 5 |