ArticleJournal of the American Geriatrics Society2013
Refining physician quality indicators for screening mammography in older women: distinguishing appropriate use from overuse.
Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed.
- Health Economics Research in Cancer Screening: Research Opportunities, Challenges, and Future Directions.Journal of the National Cancer Institute. Monographs · 2022Review
- Determinants of Medical Practice Variation Among Primary Care Physicians: Protocol for a Three Phase Study.JMIR research protocols · 2020Article
- Mammography use among women aged 18-39 years in the United States.Breast cancer research and treatment · 2018Article
- Receipt of Cancer Screening Is a Predictor of Life Expectancy.Journal of general internal medicine · 2016Article
- Potential overuse of screening mammography and its association with access to primary care.Medical care · 2014Article
- Limited life expectancy among a subgroup of medicare beneficiaries receiving screening colonoscopies.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2014Article
- Article
- Delivering high-quality and affordable care throughout the cancer care continuum.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2013Article
- Variation among primary care physicians in prostate-specific antigen screening of older men.JAMA · 2013Article
- Predicting life expectancy for community-dwelling older adults from Medicare claims data.American journal of epidemiology · 2013Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesTo assess the feasibility of refining physician quality indicators of screening mammography use based on patient life expectancy.
designRetrospective population-based cohort study.
settingTexas.
participantsThree thousand five hundred ninety-five usual care providers (UCPs) with at least 10 female patients aged 67 and older on January 1, 2008, with an estimated life expectancy of 7 years or more (222,584 women) and at least 10 women with an estimated life expectancy of less than 7 years (90,903 women), based on age and comorbidity. MEASUREMENTS: Screening mammography use in 2008-09 by each provider in each population.
resultsThe average adjusted mammography screening rates for UCPs were 31.1% for women with a life expectancy of less than 7 years and 55.2% for women with a life expectancy of 7 years or longer. For women with limited life expectancy, 3.7% of UCPs had significantly lower and 9.2% had significantly higher than average adjusted mammography screening rates. For women with longer life expectancy, 16.7% of UCPs had significantly lower and 19.7% had significantly higher than average rates. UCP adjusted screening rates were stable over time (2006-07 vs 2008-09, correlation coefficient (r) = 0.65, P < .001). There was a strong correlation between UCP screening rates for their female patients with a life expectancy of less than 7 years and 7 years or longer (r = 0.67, P < .001). Most physician characteristics associated with higher screening rates (e.g., being female and foreign trained) in women with longer life expectancy were also associated with higher screening rates in women with limited life expectancy.
conclusionProviders with high mammography screening rates for women with longer life expectancy also tend to screen women with limited life expectancy. Quality indicators for screening practice can be improved by distinguishing appropriate use from overuse based on patient life expectancy.
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