Integrating age and comorbidity to assess screening mammography utilization.

American Journal of Preventive Medicine
Alai TanJames S Goodwin

Abstract

Most studies use age as a cutoff to evaluate screening mammography utilization, generally examining screening up to age 75 years (the age-cutoff method). However, many experts and guidelines encourage clinicians to consider patient health and/or life expectancy. To compare the accuracy of estimating screening mammography utilization in older women using the age-cutoff method versus using a method based on the projected life expectancy. Two cohorts were selected from female Medicare beneficiaries aged 67-90 years living in Texas in 2001 and 2006. The 2001 cohort (n=716,279) was used to generate life-expectancy estimates by age and comorbidity, which were then applied to the 2006 cohort (n=697,825). Screening mammography utilization during 2006-2007 was measured for the 2006 cohort. Data were collected in 2000-2007 and analyzed in 2011. The screening rate was 52.7% in women aged 67-74 years based on age alone, compared to 53.5% in women in the same age group with a life expectancy of ≥7 years. A large proportion (63.4%) of women aged 75-90 years (n=370,583) had a life expectancy of ≥7 years. Those women had a screening rate of 42.7%. The screening rate was 35.7% in women aged 75-90 years based on age alone, compared to 16.3% in w...Continue Reading

References

Apr 27, 1995·The New England Journal of Medicine·J Blustein
Jan 15, 1994·Annals of Internal Medicine·W A Satariano, D R Ragland
Sep 25, 1998·Journal of the National Cancer Institute·H G Welch, E S Fisher
Jan 14, 2000·BMJ : British Medical Journal·C Riddoch
Jan 9, 2001·Journal of Clinical Epidemiology·C N KlabundeJ L Warren
Jun 21, 2001·JAMA : the Journal of the American Medical Association·L C Walter, K E Covinsky
Oct 17, 2002·Journal of the National Cancer Institute·Virginia L ErnsterBerta M Geller
May 27, 2004·JAMA : the Journal of the American Medical Association·Louise C WalterKenneth E Covinsky
Sep 29, 2004·Journal of the American Geriatrics Society·Mara A SchonbergMary B Hamel
Feb 16, 2006·JAMA : the Journal of the American Medical Association·Sei J LeeKenneth E Covinsky
Sep 15, 2006·Journal of General Internal Medicine·Caroline P Carney, Laura E Jones
Nov 16, 2006·JAMA : the Journal of the American Medical Association·Louise C WalterBadrinath R Konety
Nov 19, 2009·Annals of Internal Medicine·UNKNOWN US Preventive Services Task Force
Nov 19, 2009·Annals of Internal Medicine·Heidi D NelsonUNKNOWN U.S. Preventive Services Task Force
Nov 19, 2009·Annals of Internal Medicine·Karla Kerlikowske
Jan 16, 2010·American Journal of Public Health·Kala M MehtaLouise C Walter
Apr 1, 2010·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Jennifer M GierischBarbara K Rimer
Oct 14, 2010·JAMA : the Journal of the American Medical Association·Camelia S SimaDeborah Schrag
Mar 26, 2011·The American Journal of Medicine·Deepika L KoyaWilliam P Moran
Oct 6, 2011·JAMA : the Journal of the American Medical Association·Sei J Lee, Louise C Walter

❮ Previous
Next ❯

Citations

Sep 28, 2014·Breast Cancer Research and Treatment·Michael S SimonLew H Kuller
Jul 16, 2013·American Journal of Epidemiology·Alai TanJames S Goodwin
Aug 27, 2013·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Sahil MittalJames S Goodwin
Sep 15, 2016·Health Services Research·Wendy Yi Xu, Jeah Kyoungrae Jung
Oct 16, 2013·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Ya-Chen Tina ShihLowell Schnipper

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Incidence & Mortality

Cancer has emerged as a global concern due to its increase in incidence and mortality. Efforts are underway to evaluate and develop action plans to reduce the global burden of cancer. Currently, lung cancer, breast cancer and prostate cancer are the leading causes of cancer mortality. Here is the latest research on cancer incidence and mortality.

Related Papers

International Journal of Cancer. Journal International Du Cancer
T J Eide
JAMA : the Journal of the American Medical Association
L C WalterBadrinath R Konety
Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology
Anna P SchenckDavid F Ransohoff
© 2022 Meta ULC. All rights reserved