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Timeliness of breast cancer diagnosis and initiation of treatment in the national breast and cervical cancer early detection program, 1996-2005

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  • Richardson, L.C.
  • Royalty, J.
  • Howe, W.
  • Helsel, W.
  • Kammerer, W.
  • Benard, V.B.

Abstract

To determine the effects of program policy changes, we examined service delivery benchmarks for breast cancer screening in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). Methods. We analyzed NBCCEDP data for women with abnormal mammogram or clinical breast examination (n=382416)from which 23701 cancers were diagnosed. We examined time to diagnosis and treatment for 2 time periods: 1996 to 2000 and 2001 to 2005. We compared median time for diagnostic, treatment initiation, and total intervals with the Kruskal-Wallis test. We calculated adjusted proportions (predicted marginals) with logistic regression to examine diagnosis and treatment within program benchmarks (≤60 days) and time from screening to treatment (≤120 days). Results. Median diagnostic intervals decreased by 2 days (25 vs 23; P

Suggested Citation

  • Richardson, L.C. & Royalty, J. & Howe, W. & Helsel, W. & Kammerer, W. & Benard, V.B., 2010. "Timeliness of breast cancer diagnosis and initiation of treatment in the national breast and cervical cancer early detection program, 1996-2005," American Journal of Public Health, American Public Health Association, vol. 100(9), pages 1769-1776.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.160184_5
    DOI: 10.2105/AJPH.2009.160184
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    Cited by:

    1. Rekhter, Natalia & Ermasova, Natalia, 2021. "Culture of prevention and early disease detection of cancer in Russia," Social Science & Medicine, Elsevier, vol. 277(C).
    2. Ji-Hyun Lee & William Fulp & Kristen J Wells & Cathy D Meade & Ercilia Calcano & Richard Roetzheim, 2013. "Patient Navigation and Time to Diagnostic Resolution: Results for a Cluster Randomized Trial Evaluating the Efficacy of Patient Navigation among Patients with Breast Cancer Screening Abnormalities, Ta," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-1, September.
    3. Shelley White-Means & Jill Dapremont & Barbara D Davis & Tronlyn Thompson, 2020. "Who Can Help Us on This Journey? African American Woman with Breast Cancer: Living in a City with Extreme Health Disparities," IJERPH, MDPI, vol. 17(4), pages 1-12, February.

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