Saving Women's Lives Strategies for Improving Breast Cancer Detection and Diagnosis: A Breast Cancer Research Foundation and Institute of Medicine Symposium (2005) / Chapter Skim
Currently Skimming:
Wrap-Up Session
Wrap-Up Session
Pages 118-125
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From page 118... ...
He presented a system of improved screening services in which he had personally participated that affected both providers and patients. As an example of affecting women's behavior, he reported that women who were surveyed and discovered to have an increased risk of breast cancer because of family history were more likely to return for recommended mammograms if they were informed of their elevated risk.
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From page 119... ...
Current FDA regulation allows for a non-radiologist second reader. The committee envisioned extending capacity with specially trained technologists the way we do now through the use of residents and highly-qualified fellows.
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From page 120... ...
The first is to cover the new technology and then apply various utilization management techniques, claims edits, or retrospective review; these need to be applied conservatively because they are burdensome and annoying to practitioners. In other circumstances, the Blues have decided to fund the clinical costs of trials to answer questions about a technology with a view to making a definitive decision at a later date.
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From page 121... ...
or improving the performance of individual radiologists. Based on the available evidence, Kaiser concluded that CAD was no better than an experienced radiologist, so they would be better off training and deploying experienced radiologists than funding CAD.
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From page 122... ...
We are beginning to talk about very specific interventions to try and shrink that difference. Final Remarks Carolina Hinestrosa, M.A., M.P.H., Executive Vice President for Programs and Planning National Breast Cancer Coalition The organization that I work with, the National Breast Cancer Coalition, is committed to ending breast cancer through action and advocacy.
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From page 123... ...
I think that was not emphasized enough in the report, at least in my quick read. I think the Colorado example is useful, because I suspect they have a population registry in Colorado (Colorado is a member of the NCI Breast Cancer Screening Consortium and has a mammography registry)
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From page 124... ...
We are all hoping that a better test will emerge and mammograms can be eliminated, but this group of experts finds that that may be extremely difficult or impossible without dramatic and unexpected changes in technology. The real advances are going to come from integrating other approaches with mammography, such as molecular diagnostics, risk assessment, and allocating patients to proper screening on that basis.
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From page 125... ...
WRAP-UP SESSION 125 addition or supplement that makes a difference and gets out a diverse and expanded message. In conclusion to the day, I want to thank everybody for attending and so faithfully staying to the end.
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