Affiliation: Harvard University
- 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
- Declining recurrence among ductal carcinoma in situ patients treated with breast-conserving surgery in the community settingLaurel A Habel
Division of Research, Kaiser Permanente, Northern California, 2000 Broadway, Oakland, CA 94612, USA
Breast Cancer Res 11:R85. 2009..The aims of this study were to examine the use and impact of these therapies on risk of recurrence among ductal carcinoma in situ patients diagnosed and treated in the community setting...
- How well do second-year students learn physical diagnosis? Observational study of an Objective Structured Clinical Examination (OSCE)Claus Hamann
Geriatric Medicine Unit, Massachusetts General Hospital, 100 Charles River Plaza, Fifth Floor, Boston, MA, USA
BMC Med Educ 2:1. 2002..Little is known about using the Objective Structured Clinical Examination (OSCE) in physical diagnosis courses. The purpose of this study was to describe student performance on an OSCE in a physical diagnosis course...
- Pharma and CME: View from the USSuzanne Fletcher
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard, Pilgrim Health Care, Boston, MA 02215, USA
BMJ 337:a1023. 2008
- Breast cancer screening: a 35-year perspectiveSuzanne W Fletcher
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
Epidemiol Rev 33:165-75. 2011....
- The relationship between second-year medical students' OSCE scores and USMLE Step 1 scoresSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Med Teach 24:535-9. 2002..This correlation suggests predictive validity of this OSCE and supports the use of OSCEs early in medical school...
- A nationwide population-based skin cancer screening in Germany: proceedings of the first meeting of the International Task Force on Skin Cancer Screening and Prevention (September 24 and 25, 2009)Alan C Geller
Division of Public Health Practice, Harvard School of Public Health, Boston University School of Medicine, Boston, MA, USA
Cancer Epidemiol 34:355-8. 2010....
- Decreasing women's anxieties after abnormal mammograms: a controlled trialMary B Barton
Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, Boston, MA 02215, USA
J Natl Cancer Inst 96:529-38. 2004..e., a radiology intervention) and of an educational intervention that taught skills to cope with anxiety on the psychological status of women whose mammograms were normal or abnormal...
- Relationship between clinical and pathologic features of ductal carcinoma in situ and patient age: an analysis of 657 patientsLaura C Collins
Department of Pathology, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Avenue Boston, MA 02215, USA
Am J Surg Pathol 33:1802-8. 2009..Whether these features contribute to the higher local recurrence risk in young women with DCIS treated with the breast-conserving therapy requires further study...
- Clinical and pathologic features of ductal carcinoma in situ associated with the presence of flat epithelial atypia: an analysis of 543 patientsLaura C Collins
Department of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA
Mod Pathol 20:1149-55. 2007....
- The effect of immediate reading of screening mammograms on medical care utilization and costs after false-positive mammogramsKate A Stewart
Department of Health Care Policy, 180 Longwood Avenue, Boston, MA 02115, USA
Health Serv Res 42:1464-82. 2007..To investigate whether decreased anxiety associated with immediate reading of screening mammograms resulted in lower downstream utilization and costs among women with false-positive mammograms...
- Informed decision making before initiating screening mammography: does it occur and does it make a difference?Larissa Nekhlyudov
Department of Ambulatory Care and Prevention, Harvard Medical School Harvard Pilgrim Health Care, Boston, MA 02215, USA
Health Expect 11:366-75. 2008..Informed decision making regarding screening mammography is recommended for women under age 50. To what extent it occurs in clinical settings is unclear...
- Beliefs and expectations of women under 50 years old regarding screening mammography: a qualitative studyLarissa Nekhlyudov
Department of Ambulatory Care and Prevention, Harvard Medical School Harvard Pilgrim Health Care, Boston, Mass 02115, USA
J Gen Intern Med 18:182-9. 2003..Because shared decision making has been recommended for screening mammography by women under age 50, we studied women's decision-making process regarding the procedure...
- Information and involvement preferences of women in their 40s before their first screening mammogramLarissa Nekhlyudov
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 165:1370-4. 2005..Informed decision making regarding screening mammography is recommended for women in their 40s; however, what information women want and how much involvement in decision making they prefer are not known...
- 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...
- Adherence to long-term surveillance mammography among women with ductal carcinoma in situ treated with breast-conserving surgeryLarissa Nekhlyudov
Department of Ambulatory Care and Prevention, Harvard Medical School Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, MA 02215, USA
J Clin Oncol 27:3211-6. 2009..CONCLUSION Surveillance mammography after BCS among insured women with DCIS often did not occur yearly and declined over time after treatment. Patients and providers must remain vigilant about surveillance after BCS...
- 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
- Academia-industry collaboration in continuing medical education: description of two approachesHarvey P Katz
Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, Boston, Massachusetts, USA
J Contin Educ Health Prof 22:43-54. 2002..We describe and evaluate Pri-Med, a CME experience for primary care clinicians developed jointly by the Harvard Medical School (HMS) and M/C Communications...
- 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....
- 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...
- 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...
- 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....
- 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...
- 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
- 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...
- Colon cancer risk counseling by health-care providers: perceived barriers and response to an internet-based cancer risk appraisal instrumentKathleen M Fairfield
Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, ME 04102, USA
J Cancer Educ 19:95-7. 2004..Risk appraisal instruments may be helpful in reinforcing prevention messages, although little is known about physician acceptance of such instruments...
- 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...
- Chairman's summary of the conference. Continuing education in the health professions: improving healthcare through lifelong learningSuzanne W Fletcher
Harvard Medical School, USA
J Contin Educ Nurs 39:112-8. 2008
- 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...
- 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...
- 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...
- Failure of estrogen plus progestin therapy for preventionSuzanne W Fletcher
JAMA 288:366-8. 2002
- 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...
- 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...