Reactions of women underscreened for cervical cancer who received unsolicited human papillomavirus self-sampling kits.

Objectives: To evaluate experiences and reactions after receiving a mailed, unsolicited human papillomavirus self-sampling kit and identify psychosocial correlates of using kits.

Methods: Survey participants were underscreened women aged 30-64 who were mailed human papillomavirus kits as part of a pragmatic trial at Kaiser Permanente Washington, a United States integrated health care system. Six months after the mailing, we invited kit returners and non-returners to complete a web survey that measured psychosocial factors (e.

Cancer Screening Reminders: Addressing the Spectrum of Patient Preferences.

Context: Health care systems continue to seek evidence about how to optimize the efficiency and effectiveness of cancer screening reminders. Annual reminders to receive preventive services can be an efficient strategy.

Objective: To understand patient motivators and barriers to cancer screening and preferences about reminder strategies.

Physician Service Attribution Methods for Examining Provision of Low-Value Care.

Objectives: There has been significant research on provider attribution for quality and cost. Low-value care is an area of heightened focus, with little of the focus being on measurement; a key methodological decision is how to attribute delivered services and procedures. We illustrate the difference in relative and absolute physician- and panel-attributed services and procedures using overuse in cervical cancer screening.

Facility Mammography Volume in Relation to Breast Cancer Screening Outcomes.

Objectives: To clarify the relationship between facility-level mammography interpretive volume and breast cancer screening outcomes.

Methods: We calculated annual mammography interpretive volumes from 2000-2009 for 116 facilities participating in the U.S.

Predictors of preoperative MRI for breast cancer: differences by data source.

Aim: Investigate how the results of predictive models of preoperative MRI for breast cancer change based on available data.

Materials & Methods: A total of 1919 insured women aged ≥18 with stage 0-III breast cancer diagnosed 2002-2009. Four models were compared using nested multivariable logistic, backwards stepwise regression; model fit was assessed via area under the curve (AUC), R.

The influence of race/ethnicity and place of service on breast reconstruction for Medicare beneficiaries with mastectomy.

Racial disparities in breast reconstruction for breast cancer are documented. Place of service has contributed to disparities in cancer care; but the interaction of race/ethnicity and place of service has not been explicitly examined. We examined whether place of service modified the effect of race/ethnicity on receipt of reconstruction.

Circulating serum xenoestrogens and mammographic breast density.

Introduction: Humans are widely exposed to estrogenically active phthalates, parabens, and phenols, raising concerns about potential effects on breast tissue and breast cancer risk. We sought to determine the association of circulating serum levels of these chemicals (reflecting recent exposure) with mammographic breast density (a marker of breast cancer risk).

Methods: We recruited postmenopausal women aged 55 to 70 years from mammography clinics in Madison, Wisconsin (N = 264).