Quality Of Breast Cancer Care In The US Territories: Insights From Medicare
Authors:
- 1 March 2018
- journal article
- research article
- Published by Health Affairs Publishing, LLC in Health Affairs
- Vol. 37 (3) , 421-428
Abstract
The quality of breast cancer care among Medicare beneficiaries in the US territories—where federal spending for health care is lower than in the continental US—is unknown. We compared female Medicare beneficiaries who were residents of the US territories and had surgical treatment for breast cancer in 2008–14 to those in the continental US in terms of receipt of recommended breast cancer care (diagnostic needle biopsy and adjuvant radiation therapy [RT] following breast-conserving surgery) and the timeliness (time from needle biopsy to surgery and from surgery to adjuvant RT) of that care. Residents of the US territories were less likely to receive recommended care (24 percent lower odds of receiving diagnostic needle biopsy and 34 percent lower odds of receiving adjuvant RT) and to receive timely care (45 percent lower odds of receiving surgery and 82 percent lower odds of receiving adjuvant RT, both within three months). Further research is needed to identify barriers to the provision of adequate and timely breast cancer care in this unique population.Keywords
This publication has 31 references indexed in Scilit:
- Quality of Care for White and Hispanic Medicare Advantage Enrollees in the United States and Puerto RicoJAMA Internal Medicine, 2016
- Effect on Survival of Longer Intervals Between Confirmed Diagnosis and Treatment Initiation Among Low-Income Women With Breast CancerJournal of Clinical Oncology, 2012
- Patterns of Use and Short-Term Complications of Breast Brachytherapy in the National Medicare Population From 2008–2009Journal of Clinical Oncology, 2012
- Disparities in Timeliness of Care for U.S. Medicare Patients Diagnosed with CancerCurrent Oncology, 2012
- Understanding Health Care Disparities in the US TerritoriesArchives of internal medicine (1960), 2011
- Quality of Care in the US TerritoriesArchives of internal medicine (1960), 2011
- Needle Versus Excisional Biopsy for Noninvasive and Invasive Breast Cancer: Report from the National Cancer Data Base, 2003–2008Annals of Surgical Oncology, 2011
- A partnership between the cancer research center of Hawaii and the University of Guam in Cancer Research, Education, Training, and Outreach.2010
- Prevalence of multiple chronic conditions in the United States' Medicare populationHealth and Quality of Life Outcomes, 2009
- Breast biopsy patterns and outcomes in Surveillance, Epidemiology, and End Results—Medicare dataCancer, 2009