Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis
Public DepositedAdd to collection
You do not have access to any existing collections. You may create a new collection.
Downloadable Content
Download PDFCitation
MLA
Onega, Tracy, et al. Costs of Diagnostic and Preoperative Workup with and Without Breast Mri In Older Women with a Breast Cancer Diagnosis. BioMed Central, 2016. https://doi.org/10.17615/7mx6-mb70APA
Onega, T., Tosteson, A., Weiss, J., Alford Teaster, J., Hubbard, R., Henderson, L., Kerlikowske, K., Goodrich, M., O’donoghue, C., Wernli, K., De Martini, W., & Virnig, B. (2016). Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis. BioMed Central. https://doi.org/10.17615/7mx6-mb70Chicago
Onega, Tracy, Anna N Tosteson, Julie Weiss, Jennifer Alford Teaster, Rebecca A Hubbard, Louise Henderson, Karla Kerlikowske et al. 2016. Costs of Diagnostic and Preoperative Workup with and without Breast Mri In Older Women with a Breast Cancer Diagnosis. BioMed Central. https://doi.org/10.17615/7mx6-mb70- Creator
-
Onega, Tracy
- Other Affiliation: Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, USA; Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, USA; The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, USA
-
Tosteson, Anna N
- Other Affiliation: Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, USA; The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, USA
-
Weiss, Julie
- Other Affiliation: Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, USA; Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, USA
-
Alford-Teaster, Jennifer
- Other Affiliation: Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, USA; Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, USA
-
Hubbard, Rebecca A
- Other Affiliation: Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, USA
-
Henderson, Louise
- Affiliation: School of Medicine, Department of Radiology
-
Kerlikowske, Karla
- Other Affiliation: Departments of Medicine and Epidemiology and Biostatistics, University of California, San Francisco, USA; Department of Veterans Affairs, General Internal Medicine Section, University of California, San Francisco, USA
-
Goodrich, Martha E
- Other Affiliation: Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, USA; Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, USA
-
O’Donoghue, Cristina
- Other Affiliation: Department of Surgery, Moffit Cancer Center, Tampa, USA
-
Wernli, Karen J
- Other Affiliation: Group Health Research Institute, Seattle, USA
-
DeMartini, Wendy B
- Other Affiliation: Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, USA
-
Virnig, Beth A
- Other Affiliation: School of Public Health, University of Minnesota, Minneapolis, USA
- Abstract
- Abstract Background Breast cancer in the U.S. - estimated at 232,670 incident cases in 2014 - has the highest aggregate economic burden of care relative to other female cancers. Yet, the amount of cost attributed to diagnostic/preoperative work up has not been characterized. We examined the costs of imaging and biopsy among women enrolled in Medicare who did and did not receive diagnostic/preoperative Magnetic Resonance Imaging (MRI). Methods Using Surveillance, Epidemiology and End Results (SEER)- Medicare data, we compared the per capita costs (PCC) based on amount paid, between diagnosis date and primary surgical treatment for a breast cancer diagnosis (2005–2009) with and without diagnostic/preoperative MRI. We compared the groups with and without MRI using multivariable models, adjusting for woman and tumor characteristics. Results Of the 53,653 women in the cohort, within the diagnostic/preoperative window, 20 % (N = 10,776) received diagnostic/preoperative MRI. Total unadjusted median costs were almost double for women with MRI vs. without ($2,251 vs. $1,152). Adjusted costs were higher among women receiving MRI, with significant differences in total costs ($1,065), imaging costs ($928), and biopsies costs ($138). Conclusion Costs of diagnostic/preoperative workups among women with MRI are higher than those without. Using these cost estimates in comparative effectiveness models should be considered when assessing the benefits and harms of diagnostic/preoperative MRI.
- Date of publication
- February 27, 2016
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- Rights holder
- Onega et al.
- Language
- English
- Bibliographic citation
- BMC Health Services Research. 2016 Feb 27;16(1):76
- Publisher
- BioMed Central
Relations
- Parents:
This work has no parents.
Items
Thumbnail | Title | Date Uploaded | Visibility | Actions |
---|---|---|---|---|
12913_2016_article_1317.pdf | 2019-05-07 | Public | Download | |
12913_2016_1317_moesm1_esm.docx | 2019-05-07 | Public | Download |