Jeanne S Mandelblatt

..18-2.13). Although Spanish television has reached this low HPV awareness group, there may be missed opportunities for education by providers. Television and the internet may also be effective channels for future interventions...

..Patterns of health care use have not been well described for breast cancer survivors. The purpose of this study was to describe the health service use in a survivor cohort...

..The authors performed a review to determine the costs and benefits of mammography screening after age 65 years...

..There is little economic research on psychosocial interventions. We aimed to collect data alongside a randomized trial to compare the costs and benefits of three psycho-educational strategies to improve transition to cancer survivorship...

..Despite trials of mammography and widespread use, optimal screening policy is controversial...

..Our objective was to evaluate whether costs of increasing rates of screening or application of intensive treatment will be off-set by survival benefits for African American women...

..There are few data on sequelae of breast cancer treatments in older women. We evaluated posttreatment quality of life and satisfaction in a national population...

..We evaluated the feasibility and effectiveness of a randomized trial of brief counseling and print materials compared to print materials alone to increase intent to participate in a breast cancer prevention trial...

..There are few data on the long-term sequelae of axillary dissection among older breast carcinoma patients. We describe the impact of axillary dissection in a cohort of older women...

..Breast cancer chemotherapy decisions in patients > or = 65 years old (older) are complex because of comorbidity, toxicity, and limited data on patient preference. We examined relationships between preferences and chemotherapy use...

..To evaluate associations between race and breast carcinoma treatment...

..If confirmed in longitudinal analyses, these differences may have implications for disparities research...

..Optimal US screening strategies remain controversial. We use six simulation models to evaluate screening outcomes under varying strategies...

..Despite quality assurance standards, Papanicolaou (Pap) test characteristics remain less than optimal...

..We describe patient and physician determinants of SDM in older women with breast cancer and evaluate whether SDM is associated with treatment patterns or short-term outcomes of care...

..There are few comprehensive reviews of breast cancer outcomes in older women. We synthesize data to describe key findings and gaps in knowledge about the outcomes of breast cancer in this population...

..We compared the costs and benefits of different strategies and their effectiveness in saving lives in a less-developed country...

..Optimal ages of breast cancer screening cessation remain uncertain...

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..English ability was positively associated with mammography adherence. The authors' results imply that culturally sensitive and language-appropriate educational interventions are likely to improve mammography adherence in this population...

..The objective of this study was to determine if the rate at which physicians recommend cancer screening to older Chinese American women differs according to the language used during visits...

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..This study examined whether ethnic differences in the use of Pap screening were associated with differences in cultural views, controlling for demographic and access factors...

..To assess the acceptability of new non-invasive breast cancer diagnostic tests intended to triage women in need of biopsy...

..Enhancing shared decision making has the potential to improve mental health in older breast cancer survivors...

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..In this particular analysis, the OLS estimates appear to be preferable because of the instability of the IV estimates...

..This study investigated the hypothesis that adherence to colon cancer screening guidelines among Chinese women was associated with Eastern cultural views and anxiety about developing colon cancer...

..This study examined the collective impact of knowledge, cultural views, and health beliefs on intentions to obtain mammography among Chinese women who had not had a mammogram in the previous year...

..This video might have the potential to increase adherence to mammography screening in Chinese women...

..To explore the associations between physician communication styles and their older patients' intentions to get mammography and satisfaction with physician communication...

..Future research is needed to extend these preliminary results; such results may be useful for designing interventions to improve end of life care and caregiving in Latinos...

..Chinese cultural views consist of at least seven domains and may influence older women's breast, cervical, and CRC screening...

..Interventions should be developed and tested to enhance communication that is sensitive to older women's culture, family structure, illness experiences, preferences, and expectations...

..This suggests that the earlier study was not severely affected by ecological bias or other data limitations inherent in Medicare claims data...

..The objective of this article is to systematically review existing research on short-term effects of prevention, genetic counseling and testing, and screening activities on quality of life...

..Cancer is a leading cause of morbidity and mortality in the USA and despite many recent advances in detection and treatment, over half a million cancer patients in this country will die from their disease each year...

..To qualitatively assess Chinese American women's views of health and illness and the potential influences of culture and language on cancer screening behavior...

..To describe breast cancer risk perceptions, determine risk comprehension, and evaluate mammography adherence among Latinas...

..This systematic review examines published primary care-based cancer control interventions that included Latinos...

..Improvement of data infrastructure and reporting will be important objectives for policy makers, and further use of conceptual models by researchers may improve intervention development and, ultimately, cancer control...

..02). Despite the severe resource constraints under which they operate, and the greater vulnerability of the population they serve, community clinics deliver preventive services at rates comparable to private doctors' offices and HMOs...

..African-American and low-income women have lower rates of cancer screening and higher rates of late-stage disease than do their counterparts...

..This study explored factors that predict higher trust in primary care providers, and examined the role of patient trust on the use of preventive services for low-income African-American women...

..Latinos are likely to participate in research conducted by culturally representative teams of researchers using culturally appropriate recruiting strategies. Cancer 2006. (c) 2006 American Cancer Society...

..Despite its effectiveness in reducing mortality, colorectal cancer (CRC) screening rates are low, especially among low-income and minority groups; however, physician recommendation can increase screening rates...

..It is unclear whether the investment required will translate into a reasonable cost per year of life saved...

..Latinos have low representation in cancer prevention trials and intervention studies. Culturally appropriate recruitment strategies are needed to address this issue...

..C. Patient and provider priorities are compared to identify common ground for future interventions in resource constrained primary care settings...

..Women found the intervention acceptable and reported better communication and decision-making skills. Interventions that focus on cultural strengths may improve Latinas treatment experiences and informed decision making...

..Thus, at present we do not have sufficient data to assist physicians and their older patients in developing adjuvant treatment decisions and plans tailored to older women's needs, preferences, and concerns...

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..Selection of intervention strategies will depend on provider and patient population characteristics and feasibility of implementation...

..These findings suggest that simple, age-based considerations are important but are not the sole determinants of variations in treatment...

..To use 5 years of primary data to compare the incremental cost-effectiveness of breast conservation and radiation versus mastectomy with the restriction of choice to a single therapy versus providing a choice of either therapy...

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..The ultimate objective of using decision-analytic and cost-effectiveness models is to identify ways to improve women's health at an economically reasonable cost...

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..We conducted a cost-effectiveness analysis of the ALTS trial to determine whether HPV DNA testing is a cost-effective alternative to immediate colposcopy or conservative management with up to three cytology examinations...

..We used modeling techniques to assess the relative and absolute contributions of screening mammography and adjuvant treatment to the reduction in breast-cancer mortality in the United States from 1975 to 2000...

..Although cancer-related patient navigation interventions are being adopted increasingly across the United States and Canada, further research will be necessary to evaluate their efficacy and cost-effectiveness in improving cancer care...

..The paradigm we develop should also be broadly portable to chemotherapy decisions for other common cancers affecting older populations. ..

..Patterns of care that maximize quality of life and functioning are particularly salient in older women, where declines may exacerbate frailty and ability to live independently. ..

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..Patterns of care that maximize quality of life and functioning are particularly salient in older women, where declines may exacerbate frailty and ability to live independently. ..

..Overall, the information generated by these models will provide a framework to inform policy debates about equity in care and how to best achieve targeted reductions in breast cancer morbidity and mortality for all US women. ..

..Continuation of this award will allow Dr. Mandelblatt to have sufficient protected time to train new investigators and develop new research innovations to advance the science of cancer control at the intersection of aging. ..

..The paradigm we develop should also be broadly portable to chemotherapy decisions for other common cancers affecting older populations. ..

..Interventions derived from this project, hold the promise of improving the quality of care for the fastest growing segment of the breast cancer population. ..

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