Research Topics
| J G ElmoreSummaryAffiliation: University of Washington Country: USA Publications
Research Grants
| Collaborators
|
Detail Information
Publications
Mammography facility characteristics associated with interpretive accuracy of screening mammographyStephen Taplin
Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA
J Natl Cancer Inst 100:876-87. 2008..Understanding sources of facility variation could become a foundation for improving interpretive performance...- Evaluating the impact of patients' online access to doctors' visit notes: designing and executing the OpenNotes projectSuzanne G Leveille
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA
BMC Med Inform Decis Mak 12:32. 2012..We hypothesized that patients and primary care physicians (PCPs) would want it to continue and that OpenNotes would not lead to significant disruptions to doctors' practices... - Dealing with heterogeneity of treatment effects: is the literature up to the challenge?Nicole B Gabler
Center for Healthcare Policy and Research, University of California, Davis, California, USA
Trials 10:43. 2009..We undertook this literature sample to track the use of HTE analyses over time, examine the appropriateness of the statistical methods used, and explore the predictors of such analyses... 
Efficacy of breast cancer screening in the community according to risk levelJoann G Elmore
School of Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA
J Natl Cancer Inst 97:1035-43. 2005..The efficacy of breast cancer screening in the community may differ from that suggested by the results of randomized trials, and no data have been available on efficacy among women who have different levels of breast cancer risk...- Screening for breast cancerJoann G Elmore
Department of Medicine, University of Washington School of Medicine, Seattle, USA
JAMA 293:1245-56. 2005..Breast cancer screening in community practices may be different from that in randomized controlled trials. New screening modalities are becoming available... - Racial inequities in the timing of breast cancer detection, diagnosis, and initiation of treatmentJoann G Elmore
Department of Medicine, University of Washington School of Medicine, Seattle, Washington 98104 2499, USA
Med Care 43:141-8. 2005..Recent studies suggest differences in quality and timeliness of care received may be major contributing sources to the racial disparity in breast cancer detection and related outcomes... - The association between obesity and screening mammography accuracyJoann G Elmore
Division of General Internal Medicine, University of Washington School of Medicine, Harborview Medical Center, 325 Ninth Avenue, Box 359780, Seattle, WA 98104 2499, USA
Arch Intern Med 164:1140-7. 2004..Obesity is increasing among American women, especially as they age. The influence of obesity on the accuracy of screening mammography has not been studied extensively... - The impact of clinical history on mammographic interpretationsJ G Elmore
Department of Internal Medicine, University of Washington, Seattle, USA
JAMA 277:49-52. 1997..To determine whether mammographic interpretations are biased by the patient's clinical history... - International variation in screening mammography interpretations in community-based programsJoann G Elmore
Department of Medicine, University of Washington, Seattle, USA
J Natl Cancer Inst 95:1384-93. 2003..To evaluate international variability in mammography interpretation, we analyzed published reports from community-based screening programs from around the world... - Does litigation influence medical practice? The influence of community radiologists' medical malpractice perceptions and experience on screening mammographyJoann G Elmore
Dept of Internal Medicine, Univ of Washington School of Medicine, Harborview Medical Ctr, 325 Ninth Ave, Box 359780, Seattle, WA 98104 2499, USA
Radiology 236:37-46. 2005..To assess the relationship between radiologists' perception of and experience with medical malpractice and their patient-recall rates in actual community-based clinical settings... - Variability in interpretive performance at screening mammography and radiologists' characteristics associated with accuracyJoann G Elmore
Department of Medicine, University of Washington School of Medicine, Harborview Medical Center, 325 Ninth Ave, Box 359780, Seattle, WA 98104 2499, USA
Radiology 253:641-51. 2009..To identify radiologists' characteristics associated with interpretive performance in screening mammography... - Screening mammograms by community radiologists: variability in false-positive ratesJoann G Elmore
Department of Medicine, University of Washington School of Medicine, Seattle 98104, USA
J Natl Cancer Inst 94:1373-80. 2002.... - Effect of false-positive mammograms on interval breast cancer screening in a health maintenance organizationM L Burman
Veterans Affairs Puget Sound Health Care System Seattle Division, Group Health Cooperative of Puget Sound, and University of Washington, 98108, USA
Ann Intern Med 131:1-6. 1999..Such factors as age, socioeconomic status, and physician recommendation have been associated with greater use of screening. However, we do not know whether having an abnormal mammogram affects future screening... - Hormone replacement therapy after a diagnosis of breast cancer in relation to recurrence and mortalityE S O'Meara
Fred Hutchinson Cancer Research Center and Department of Epidemiology, University of Washington, Seattle, USA
J Natl Cancer Inst 93:754-62. 2001..In this study, we sought to evaluate the impact of HRT on recurrence and mortality after a diagnosis of breast cancer... - Breast cancer screening use by African Americans and Whites in an HMOL M Reisch
Departments of Medicine, University of Washington School of Medicine, Seattle, Washington, USA
J Gen Intern Med 15:229-34. 2000..87). CONCLUSIONS: In this HMO, African-American and white women obtained breast cancer screening at similar rates. Comparisons with national data showed much higher screening rates in this HMO for both white and African-American women... - Benign breast disease--the risks of communicating riskJoann G Elmore
N Engl J Med 353:297-9. 2005 - Examining accuracy of screening mammography using an event order modelPrashni Paliwal
Women s Health Research, Yale University, P O Box 208091, New Haven, CT 06520 8091, USA
Stat Med 25:267-83. 2006..The approach is illustrated with screening mammography data from the Group Health Cooperative in Seattle, WA. A Bayesian framework is adopted for inference and an analysis of the data set is presented... - Reality check: perceived versus actual performance of community mammographersJoshua J Fenton
Department of Family and Community Medicine, University of California, Davis, 4860 Y St, Ste 2300, Sacramento, CA 95817, USA
AJR Am J Roentgenol 187:42-6. 2006..2%). CONCLUSION: Despite regular performance feedback, community radiologists may overestimate their true rates of recommending further evaluation after screening mammography and underestimate their true positive predictive value... 
Specificity of clinical breast examination in community practiceJoshua J Fenton
Department of Family and Community Medicine, University of California, Davis, Sacramento, CA 95817, USA
J Gen Intern Med 22:332-7. 2007....- Reactions to uncertainty and the accuracy of diagnostic mammographyPatricia A Carney
Department of Community and Family Medicine, Dartmouth Medical School, Hanover and Lebanon, NH, USA
J Gen Intern Med 22:234-41. 2007..Reactions to uncertainty in clinical medicine can affect decision making... - Breast self-examination: self-reported frequency, quality, and associated outcomesShin Ping Tu
Department of Medicine, University of Washington, Seattle, USA
J Cancer Educ 21:175-81. 2006..There is little information on the quality of breast self-examination (BSE) and associated outcomes... - Delivery of cancer screening: how important is the preventive health examination?Joshua J Fenton
Department of Family and Community Medicine, University of California, Davis, Sacramento, CA 95817, USA
Arch Intern Med 167:580-5. 2007..Patients and physicians strongly endorse the importance of preventive or periodic health examinations (PHEs). However, the extent to which PHEs contribute to the delivery of cancer screening is uncertain... - The more eyes, the better to see? From double to quadruple reading of screening mammogramsJoann G Elmore
J Natl Cancer Inst 99:1141-3. 2007 - Influence of computer-aided detection on performance of screening mammographyJoshua J Fenton
University of California, Davis, Sacramento, USA
N Engl J Med 356:1399-409. 2007..Since the Food and Drug Administration approved the technology in 1998, it has been disseminated into practice, but its effect on the accuracy of interpretation is unclear... - Attitudes toward participation in breast cancer randomized clinical trials in the African American community: a focus group studyHannah M Linden
Department of Medicine, Seattle Cancer Care Alliance, University of Washington, Seattle, WA 98109, USA
Cancer Nurs 30:261-9. 2007..Lessons learned from this study support the selection of a culturally diverse research staff and can guide the development of research protocols, recruitment efforts, and clinical procedures that are culturally sensitive and relevant... - Trends in study methods used in undergraduate medical education research, 1969-2007Amy Baernstein
Division of General Internal Medicine, University of Washington School of Medicine, Seattle, USA
JAMA 298:1038-45. 2007..Evidence-based medical education requires rigorous studies appraising educational efficacy... - Radiologist characteristics associated with interpretive performance of diagnostic mammographyDiana L Miglioretti
Group Health Center for Health Studies, Group Health Cooperative, 1730 Minor Ave, Ste 1600, Seattle, WA 98101, USA
J Natl Cancer Inst 99:1854-63. 2007..Extensive variability has been noted in the interpretive performance of screening mammography; however, less is known about variability in diagnostic mammography performance... - Joint modeling of sensitivity and specificityGavino Puggioni
Department of Statistical Science, Duke University, Durham, NC 27708 0251, U S A
Stat Med 27:1745-61. 2008..The goal of this article is to illuminate these issues both algebraically and through analysis of a real data set... - Mammographers' perception of women's breast cancer riskJoseph R Egger
Division of General Internal Medicine, University of Washington School of Medicine, Harborview Medical Center, Seattle, WA 98104-2499, USA
Med Decis Making 25:283-9. 2005..However, only age was statistically significant. No association was found between radiologists' risk estimate and their recall rate. CONCLUSION: U.S. radiologists have a heightened perception of breast cancer risk... - Breast self-examination: who teaches it, who is taught, and how often? (United States)Larissa Nekhlyudov
Department of Ambulatory Care and Prevention, Harvard Medical School Pilgrim Health Care, Boston, MA 02215, USA
Cancer Causes Control 13:343-51. 2002..However, it is not clear which patients and providers are involved in BSE teaching, nor how often it occurs. We undertook this study at a large New England Health Maintenance Organization (HMO) to answer these questions... - Does practice make perfect when interpreting mammography? Part IIJoann G Elmore
J Natl Cancer Inst 95:250-2. 2003 - Training, quality assurance, and assessment of medical record abstraction in a multisite studyLisa M Reisch
Harborview Medical Center, University of Washington School of Medicine, Seattle, WA 98104-2499, USA
Am J Epidemiol 157:546-51. 2003..Additionally, a masking study with a subsample of subjects may be a feasible and cost-effective alternative to the time- and cost-intensive methodological approach of masking all medical records... - Computer-aided detection of breast cancer: has promise outstripped performance?Joann G Elmore
J Natl Cancer Inst 96:162-3. 2004 - Comparing breast cancer case identification using HMO computerized diagnostic data and SEER dataSharon J Rolnick
HealthPartners Research Foundation, PO Box 1524, MS 21111R, Minneapolis, MN 55440 1524, USA
Am J Manag Care 10:257-62. 2004..To determine the sensitivity and positive predictive value (PPV) of computerized diagnostic data from health maintenance organizations (HMOs) in identifying incident breast cancer cases... - Radiologist uncertainty and the interpretation of screeningPatricia A Carney
Department of Community and Family Medicine, Dartmouth Medical School, Hanover and Lebanon, New Hampshire, USA
Med Decis Making 24:255-64. 2004..To determine radiologists' reactions to uncertainty when interpreting mammography and the extent to which radiologist uncertainty explains variability in interpretive performance... - Balancing mammography's benefits and harmsJoshua J Fenton
BMJ 328:E301-2. 2004 - Accuracy of screening mammography interpretation by characteristics of radiologistsWilliam E Barlow
Cancer Research and Biostatistics, 1730 Minor Ave, Ste 1900, Seattle WA 98101, USA
J Natl Cancer Inst 96:1840-50. 2004..Radiologists differ in their ability to interpret screening mammograms accurately. We investigated the relationship of radiologist characteristics to actual performance from 1996 to 2001... - False-positive mammograms--can the USA learn from Europe?Suzanne W Fletcher
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02115, USA
Lancet 365:7-8. 2005 - Community-based mammography practice: services, charges, and interpretation methodsR Edward Hendrick
Department of Radiology, Lynn Sage Comprehensive Breast Center, Northwestern University Feinberg School of Medicine, Galter Pavilion, 13th Floor, 251 E Huron St, Chicago, IL 60611, USA
AJR Am J Roentgenol 184:433-8. 2005..The purpose of our study was to accurately describe facility characteristics among community-based screening and diagnostic mammography practices in the United States... - Current realities of delivering mammography services in the community: do challenges with staffing and scheduling exist?Carl D'Orsi
Breast Imaging Center, Dept of Radiology, Emory Univ, W C I Building, 1701 Uppergate Drive, Suite C1104, Atlanta, GA 30322, USA
Radiology 235:391-5. 2005..To evaluate the current (2001-2002) capacity of community-based mammography facilities to deliver screening and diagnostic services in the United States... - Efficacy of prophylactic mastectomy in women with unilateral breast cancer: a cancer research network projectLisa J Herrinton
Cancer Research Network, Division of Research, Northern California Kaiser Permanente, 2000 Broadway Ave, Oakland, CA 94612, USA
J Clin Oncol 23:4275-86. 2005..We investigated the efficacy of contralateral prophylactic mastectomy (CPM) in reducing contralateral breast cancer incidence and breast cancer mortality among women who have already been diagnosed with breast cancer... - Does practice make perfect when interpreting mammography?Joann G Elmore
J Natl Cancer Inst 94:321-3. 2002 - A population-based study of bilateral prophylactic mastectomy efficacy in women at elevated risk for breast cancer in community practicesAnn M Geiger
Research and Evaluation Department, Southern California Permanente Medical Group, 100 S Los Robles, Pasadena, CA 91101, USA
Arch Intern Med 165:516-20. 2005..We studied the efficacy of bilateral prophylactic mastectomy in women with elevated breast cancer risk cared for in community practices... - What women wish they knew before prophylactic mastectomySharon J Rolnick
HealthPartners Research Foundation, Minneapolis, MN 55440 1524, USA
Cancer Nurs 30:285-91; quiz 292-3. 2007..Clinicians and health educators should be aware of patient needs and must counsel women accordingly... - Release from prison--a high risk of death for former inmatesIngrid A Binswanger
Puget Sound Veterans Affairs Medical Center, Seattle, USA
N Engl J Med 356:157-65. 2007..The period immediately after release may be challenging for former inmates and may involve substantial health risks. We studied the risk of death among former inmates soon after their release from Washington State prisons... - The personal costs and convenience of screening mammographyLisa Gale Suter
Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
J Womens Health Gend Based Med 11:667-72. 2002..CONCLUSIONS: One third of women obtaining mammograms may be incurring personal costs. These personal costs should be considered in future cost-effectiveness analyses... - The risk of cancer risk prediction: "What is my risk of getting breast cancer"?Joann G Elmore
J Natl Cancer Inst 98:1673-5. 2006 - Accuracy of short-interval follow-up mammograms by patient and radiologist characteristicsErin J Aiello Bowles
Group Health Center for Health Studies, Group Health Cooperative, 1730 Minor Ave, Ste 1600, Seattle, WA 98101, USA
AJR Am J Roentgenol 190:1200-8. 2008..The purpose of our study was to examine the accuracy of short-interval follow-up mammograms and evaluate patient and radiologist characteristics associated with accuracy... 
Positive, negative, and disparate--women's differing long-term psychosocial experiences of bilateral or contralateral prophylactic mastectomyAndrea Altschuler
Division of Research, Kaiser Permanente Northern California, Oakland, California 94612, USA
Breast J 14:25-32. 2008..This dichotomy could be an important factor to discuss in counseling women considering the procedure...- Impact of IRB requirements on a multicenter survey of prophylactic mastectomy outcomesSarah M Greene
Group Health Cooperative Center for Health Studies, Seattle, WA 98101, USA
Ann Epidemiol 16:275-8. 2006..This study assesses the variability in requirements among six institutional review boards (IRBs) and the resulting protocol variations for a multicenter mailed survey... - Quality of life after bilateral prophylactic mastectomyAnn M Geiger
Research and Evaluation Department, Kaiser Permanente Southern California, Pasadena, California 91188, USA
Ann Surg Oncol 14:686-94. 2007..Bilateral prophylactic mastectomy in women with increased breast cancer risk dramatically reduces breast cancer occurrence but little is known about psychosocial outcomes... - Contentment with quality of life among breast cancer survivors with and without contralateral prophylactic mastectomyAnn M Geiger
Research and Evaluation Department, Kaiser Permanente Southern California, Pasadena, USA
J Clin Oncol 24:1350-6. 2006..To understand psychosocial outcomes after prophylactic removal of the contralateral breast in women with unilateral breast cancer... - Clinical practice. Mammographic screening for breast cancerSuzanne W Fletcher
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston 02215, USA
N Engl J Med 348:1672-80. 2003 - Continuity of care and cancer screening among health plan enrolleesJoshua J Fenton
Department of Family and Community Medicine and Center for Health Services Research in Primary Care, University of California, Davis, Sacramento, California 95817, USA
Med Care 46:58-62. 2008..In addition, little is known about the relationship between continuity of care and receipt of colorectal and prostate cancer screening...
Research Grants
- UNDERSTANDING VARIABILITY IN COMMUNITY MAMMOGRAPHYJoann Elmore; Fiscal Year: 2007..This work builds on our previous model development and is a natural extension in a timely and important clinical area. ..
- Accuracy of Breast Pathology and the Impact of Technology & Double ReadingJoann Elmore; Fiscal Year: 2009..We will also evaluate the impact of double reading and new technology that digitizes images of slides on overall accuracy. ..
- Improving Accuracy & Outcomes of Breast Cancer ScreeningJoann Elmore; Fiscal Year: 2007..Clinically significant variability exists in the accuracy and outcomes of breast cancer screening. Projects such as we have outlined are a critical step in improving this field. ..
- UNDERSTANDING VARIABILITY IN COMMUNITY MAMMOGRAPHYJoann Elmore; Fiscal Year: 2002..Gaining a better understanding of how individual radiologists and their practice environment account for variation will help identify ways to improve mammography. ..
- Accuracy of Breast Pathology and the Impact of Technology & Double ReadingDONALD LEE WEAVER; Fiscal Year: 2010..We will also evaluate the impact of double reading and new technology that digitizes images of slides on overall accuracy. ..