Predictors of timely follow-up after abnormal cancer screening among women seeking care at urban community health centers.
Predictors of timely follow-up after abnormal cancer screening among women seeking care at urban community health centers.
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DOI：
10.1002/cncr.24851
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发表时间：
2010-02-15
期刊：
影响因子：
6.2
通讯作者：
Freund, Karen M.
中科院分区：
文献类型：
--
作者：
Battaglia, Tracy A.;Santana, M. Christina;Bak, Sharon;Gokhale, Manjusha;Lash, Timothy L.;Ash, Arlene S.;Kalish, Richard;Tringale, Stephen;Taylor, James O.;Freund, Karen M.
我们试图测量时间，并确定一组不同种族/民族的内城妇女乳腺癌和宫颈癌筛查异常及时随访的预测因素。符合条件的妇女在2004年1月至2005年12月期间在马萨诸塞州波士顿的六个社区卫生中心之一的乳房X光检查或巴氏试验中发现异常。回顾性病历审查使我们能够测量诊断解决的时间。我们使用考克斯比例风险模型来开发及时解决的预测模型（定义为在指数异常后180天内完成的明确诊断服务）。在523名乳腺X线检查异常的妇女和474名巴氏试验异常的妇女中，>90%的妇女在12个月内获得诊断解决。巴氏试验的中位缓解时间长于乳腺X线摄影异常（85天vs 27天）。治疗地点，而不是任何社会人口学特征的个人，包括种族/民族，是唯一的显着预测及时随访乳房X线检查和巴氏试验异常。在满足服务不足人群的需求时，基于社区的特定地点干预措施可能是减少癌症健康差距的最有效干预措施。
We sought to measure time and identify predictors of timely follow-up among a cohort of racially/ethnically diverse inner city women with breast and cervical cancer screening abnormalities. Eligible women had an abnormality detected on a mammogram or Pap test between January 2004 and December 2005 in one of six community health centers in Boston, MA. Retrospective chart review allowed us to measure time to diagnostic resolution. We used Cox proportional hazards models to develop predictive models for timely resolution (defined as definitive diagnostic services completed within 180 days from index abnormality). Among 523 women with mammography abnormalities and 474 women with Pap test abnormalities, >90% achieved diagnostic resolution within 12 months. Median time to resolution was longer for Pap test than for mammography abnormalities (85 versus 27 days). Site of care, rather than any sociodemographic characteristic of individuals, including race/ethnicity, was the only significant predictor of timely follow up for both mammogram and Pap test abnormalities. Site specific community based interventions may be the most effective interventions to reduce cancer health disparities when addressing the needs of underserved populations.
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DOI：
10.1007/s11524-008-9296-5
发表时间：
2008-09-01
影响因子：
6.6
作者：
Eisert, Sheri L.;Mehler, Philip S.;Gabow, Patricia A.
通讯作者：
Gabow, Patricia A.
DOI：
10.1016/j.ijrobp.2006.03.048
发表时间：
2006-08-01
影响因子：
7
作者：
Hershman, Dawn L.;Wang, Xiaoyan;Neugut, Alfred I.
通讯作者：
Neugut, Alfred I.
DOI：
10.1093/jnci/djn389
发表时间：
2008-12-03
期刊：
Journal of the National Cancer Institute
影响因子：
--
作者：
Jemal A;Thun MJ;Ries LA;Howe HL;Weir HK;Center MM;Ward E;Wu XC;Eheman C;Anderson R;Ajani UA;Kohler B;Edwards BK
通讯作者：
Edwards BK
影响因子：
5.7
作者：
Batal, H;Biggerstaff, S;Mehler, PS
通讯作者：
Mehler, PS
影响因子：
6.2
作者：
Gold, Heather Taffet;Do, Huong T.;Dick, Andrew W.
通讯作者：
Dick, Andrew W.