Regional-Level Correlations in Inappropriate Imaging Rates for Prostate and Breast Cancers Potential Implications for the Choosing Wisely Campaign
Regional-Level Correlations in Inappropriate Imaging Rates for Prostate and Breast Cancers Potential Implications for the Choosing Wisely Campaign
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DOI：
10.1001/jamaoncol.2015.37
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发表时间：
2015-05-01
期刊：
影响因子：
28.4
通讯作者：
Gross, Cary P.
中科院分区：
文献类型：
--
作者：
Makarov, Danil V.;Soulos, Pamela R.;Gross, Cary P.
重要性：临床实践的区域规范与护理的适当性之间的关系尚不完全清楚。了解跨疾病的区域护理模式可能会优化像明智选择这样的项目的实施，这是一项正在进行的减少浪费医疗支出的运动。目的探讨前列腺癌和乳腺癌影像不恰当的区域发生率是否相关。设计、环境和参与者：使用监测、流行病学和最终结果-医疗保险关联数据库的回顾性队列研究。我们确定了2004年至2007年诊断为低危前列腺的患者(临床分期T1c/T2a； Gleason评分；
IMPORTANCE The association between regional norms of clinical practice and appropriateness of care is incompletely understood. Understanding regional patterns of care across diseases might optimize implementation of programs like Choosing Wisely, an ongoing campaign to decrease wasteful medical expenditures.OBJECTIVE To determine whether regional rates of inappropriate prostate and breast cancer imaging were associated.DESIGN, SETTING, AND PARTICIPANTS Retrospective cohort study using the the Surveillance, Epidemiology, and End Results-Medicare linked database. We identified patients diagnosed from 2004 to 2007 with low-risk prostate (clinical stage T1c/T2a; Gleason score,