ORIGINAL INVESTIGATION HEALTH CARE REFORM The Cost of Breast Cancer Screening in the Medicare Population Cary P. Gross, MD; Jessica B. Long, MPH; Joseph S. Ross, MD, MHS; Maysa M. Abu-Khalaf, MD; Rong Wang, PhD; Brigid K. Killelea, MD, MPH; Heather T. Gold, PhD; Anees B. Chagpar, MD, MA, MPH, MSc; Xiaomei Ma, PhD Background: Little is known about the cost to Medi- respectively. For women 75 years or older, annual screen- care of breast cancer screening or whether regional- ing-related expenditures exceeded $410 million. Age- level screening expenditures are associated with cancer standardized screening-related cost per beneficiary varied stage at diagnosis or treatment costs, particularly be- more than 2-fold across regions (from $42 to $107 per cause newer breast cancer screening technologies, like beneficiary); digital screening mammography and CAD digital mammography and computer-aided detection accounted for 65% of the difference in screening-related (CAD), have diffused into the care of older women. cost between HRRs in the highest and lowest quartiles of cost. Women residing in HRRs with high screening Methods: Using the linked Surveillance, Epidemiol- costs were more likely to be diagnosed as having early- ogy, and End Results–Medicare database, we identified stage cancer (incidence rate ratio, 1.78
JAMA Internal Medicine – American Medical Association
Published: Feb 11, 2013
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