Adherence to Guidelines for Breast Surveillance in Breast Cancer Survivors.

Journal of the National Comprehensive Cancer Network : JNCCN
Kathryn J RuddyNilay D Shah

Abstract

Background: Guidelines recommend annual mammography after curative-intent treatment for breast cancer. The goal of this study was to assess contemporary patterns of breast imaging after breast cancer treatment. Methods: Administrative claims data were used to identify privately insured and Medicare Advantage beneficiaries with nonmetastatic breast cancer who had residual breast tissue (not bilateral mastectomy) after breast surgery between January 2005 and May 2015. We calculated the proportion of patients who had a mammogram, MRI, both, or neither during each of 5 subsequent 13-month periods. Multinomial logistic regression was used to assess associations between patient characteristics, healthcare use, and breast imaging in the first and fifth years after surgery. Results: A total of 27,212 patients were followed for a median of 2.9 years (interquartile range, 1.8-4.6) after definitive breast cancer surgery. In year 1, 78% were screened using mammography alone, 1% using MRI alone, and 8% using both tests; 13% did not undergo either. By year 5, the proportion of the remaining cohort (n=4,790) who had no breast imaging was 19%. Older age was associated with an increased likelihood of mammography and a decreased likelihood of MR...Continue Reading

Citations

Aug 15, 2020·Journal of Cancer Survivorship : Research and Practice·Beth A GlennRoshan Bastani
Dec 17, 2018·Journal of Surgical Oncology·Lauren J TaylorDaniel E Abbott
Aug 15, 2019·Journal of General Internal Medicine·Louise M HendersonKaren J Wernli
Oct 19, 2019·Oncology Nursing Forum·Min K JangCarol E Ferrans
Jul 25, 2020·Neuromodulation : Journal of the International Neuromodulation Society·Rohan JotwaniAmitabh Gulati
May 14, 2021·Journal of Cancer Survivorship : Research and Practice·Pragati AdvaniSally W Vernon

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