The Impact of Mammography Screening Guideline Changes in a Universally Insured Population
| العنوان: | The Impact of Mammography Screening Guideline Changes in a Universally Insured Population |
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| المؤلفون: | Mary Beth Martin, Julie A Bytnar, Catherine Witkop, Celia Byrne, Amanda Banaag, Cara H. Olsen, Tracey Perez Koehlmoos |
| المصدر: | J Womens Health (Larchmt) |
| بيانات النشر: | Mary Ann Liebert Inc, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Population, Beneficiary, Breast Neoplasms, Medicare, Breast cancer screening, Breast cancer, Humans, Mass Screening, Medicine, Mammography, education, Early Detection of Cancer, Aged, education.field_of_study, medicine.diagnostic_test, business.industry, Task force, Original Articles, General Medicine, Guideline, medicine.disease, United States, Female, Mammography screening, business, Demography |
| الوصف: | BACKGROUND: The U.S. Preventive Services Task Force (USPSTF) modified breast cancer screening guidelines in November 2009. The impact has been studied among privately and Medicare insured populations, but not among universally insured women. MATERIALS AND METHODS: This study compared the proportion of TRICARE beneficiaries aged 40–64 receiving mammograms from fiscal years 2006 to 2015 using an interrupted time series analysis to determine the impact of the 2009 USPSTF guideline changes. Stratified analyses evaluated differences by age (ages 40–49, 50–64), race, care setting, beneficiary type, and military status. RESULTS: The proportion of women receiving mammograms increased from October 2005 through September 2009. A small, but significant decrease of 65–66 fewer women screened per 10,000 occurred in the first quarter of 2010 (October 1 to December 31) following the screening guideline update publication. The proportion screened then remained unchanged through 2015. Comparative analysis revealed no differences in impact between age groups, blacks and whites, or military dependents and active-duty/retirees. CONCLUSIONS: This study determined that the USPSTF guideline updates had a small, but immediate and lasting impact that was not different across age groups, beneficiary type, or race. No racial disparities in the proportion screened or in the impact of the guideline change were noted in our universally insured population. |
| تدمد: | 1931-843X 1540-9996 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e27a6b66de0a4ad6b8641198a11e3072 https://doi.org/10.1089/jwh.2020.8546 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e27a6b66de0a4ad6b8641198a11e3072 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1931843X 15409996 |
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