Advanced Imaging and Receipt of Guideline Concordant Care in Women with Early Stage Breast Cancer

Elizabeth Trice Loggers, Diana S.M. Buist, Laura S. Gold, Steven Zeliadt, Rachel Hunter Merrill, Ruth Etzioni, Scott D. Ramsey, Sean D. Sullivan, Larry Kessler

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Objective. It is unknown whether advanced imaging (AI) is associated with higher quality breast cancer (BC) care. Materials and Methods. Claims and Surveillance Epidemiology and End Results data were linked for women diagnosed with incident stage I-III BC between 2002 and 2008 in western Washington State. We examined receipt of preoperative breast magnetic resonance imaging (MRI) or AI (defined as computed tomography [CT]/positron emission tomography [PET]/PET/CT) versus mammogram and/or ultrasound (M-US) alone and receipt of guideline concordant care (GCC) using multivariable logistic regression. Results. Of 5247 women, 67% received M-US, 23% MRI, 8% CT, and 3% PET/PET-CT. In 2002, 5% received MRI and 5% AI compared to 45% and 12%, respectively, in 2008. 79% received GCC, but GCC declined over time and was associated with younger age, urban residence, less comorbidity, shorter time from diagnosis to surgery, and earlier year of diagnosis. Breast MRI was associated with GCC for lumpectomy plus radiation therapy (RT) (OR 1.55, 95% CI 1.08-2.26, and p = 0.02) and AI was associated with GCC for adjuvant chemotherapy for estrogen-receptor positive (ER+) BC (OR 1.74, 95% CI 1.17-2.59, and p = 0.01). Conclusion. GCC was associated with prior receipt of breast MRI and AI for lumpectomy plus RT and adjuvant chemotherapy for ER+ BC, respectively.

Original languageEnglish (US)
Article number2182985
JournalInternational Journal of Breast Cancer
Volume2016
DOIs
StatePublished - 2016
Externally publishedYes

ASJC Scopus subject areas

  • Oncology
  • Cancer Research
  • Pharmacology (medical)

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    Loggers, E. T., Buist, D. S. M., Gold, L. S., Zeliadt, S., Hunter Merrill, R., Etzioni, R., Ramsey, S. D., Sullivan, S. D., & Kessler, L. (2016). Advanced Imaging and Receipt of Guideline Concordant Care in Women with Early Stage Breast Cancer. International Journal of Breast Cancer, 2016, [2182985]. https://doi.org/10.1155/2016/2182985