Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis

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...
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Autor*in:	Onega, Tracy [verfasserIn] Tosteson, Anna N.A. Weiss, Julie Alford-Teaster, Jennifer Hubbard, Rebecca A. Henderson, Louise M. Kerlikowske, Karla Goodrich, Martha E. O’Donoghue, Cristina Wernli, Karen J. DeMartini, Wendy B. Virnig, Beth A

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	Beast cancer Breast MRI Diagnostic/preoperative breast MRI and cost of breast MRI

Anmerkung:	© Onega et al. 2016

Übergeordnetes Werk:	Enthalten in: BMC health services research - London : BioMed Central, 2001, 16(2016), 1 vom: 27. Feb.
Übergeordnetes Werk:	volume:16 ; year:2016 ; number:1 ; day:27 ; month:02

Links:	Volltext

DOI / URN:	10.1186/s12913-016-1317-6

Katalog-ID:	SPR028278461

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520			\|a 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.
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allfields	10.1186/s12913-016-1317-6 doi (DE-627)SPR028278461 (SPR)s12913-016-1317-6-e DE-627 ger DE-627 rakwb eng Onega, Tracy verfasserin aut Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Onega et al. 2016 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. Beast cancer (dpeaa)DE-He213 Breast MRI (dpeaa)DE-He213 Diagnostic/preoperative breast MRI (dpeaa)DE-He213 and cost of breast MRI (dpeaa)DE-He213 Tosteson, Anna N.A. aut Weiss, Julie aut Alford-Teaster, Jennifer aut Hubbard, Rebecca A. aut Henderson, Louise M. aut Kerlikowske, Karla aut Goodrich, Martha E. aut O’Donoghue, Cristina aut Wernli, Karen J. aut DeMartini, Wendy B. aut Virnig, Beth A aut Enthalten in BMC health services research London : BioMed Central, 2001 16(2016), 1 vom: 27. Feb. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:16 year:2016 number:1 day:27 month:02 https://dx.doi.org/10.1186/s12913-016-1317-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2016 1 27 02
spelling	10.1186/s12913-016-1317-6 doi (DE-627)SPR028278461 (SPR)s12913-016-1317-6-e DE-627 ger DE-627 rakwb eng Onega, Tracy verfasserin aut Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Onega et al. 2016 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. Beast cancer (dpeaa)DE-He213 Breast MRI (dpeaa)DE-He213 Diagnostic/preoperative breast MRI (dpeaa)DE-He213 and cost of breast MRI (dpeaa)DE-He213 Tosteson, Anna N.A. aut Weiss, Julie aut Alford-Teaster, Jennifer aut Hubbard, Rebecca A. aut Henderson, Louise M. aut Kerlikowske, Karla aut Goodrich, Martha E. aut O’Donoghue, Cristina aut Wernli, Karen J. aut DeMartini, Wendy B. aut Virnig, Beth A aut Enthalten in BMC health services research London : BioMed Central, 2001 16(2016), 1 vom: 27. Feb. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:16 year:2016 number:1 day:27 month:02 https://dx.doi.org/10.1186/s12913-016-1317-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2016 1 27 02
allfields_unstemmed	10.1186/s12913-016-1317-6 doi (DE-627)SPR028278461 (SPR)s12913-016-1317-6-e DE-627 ger DE-627 rakwb eng Onega, Tracy verfasserin aut Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Onega et al. 2016 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. Beast cancer (dpeaa)DE-He213 Breast MRI (dpeaa)DE-He213 Diagnostic/preoperative breast MRI (dpeaa)DE-He213 and cost of breast MRI (dpeaa)DE-He213 Tosteson, Anna N.A. aut Weiss, Julie aut Alford-Teaster, Jennifer aut Hubbard, Rebecca A. aut Henderson, Louise M. aut Kerlikowske, Karla aut Goodrich, Martha E. aut O’Donoghue, Cristina aut Wernli, Karen J. aut DeMartini, Wendy B. aut Virnig, Beth A aut Enthalten in BMC health services research London : BioMed Central, 2001 16(2016), 1 vom: 27. Feb. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:16 year:2016 number:1 day:27 month:02 https://dx.doi.org/10.1186/s12913-016-1317-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2016 1 27 02
allfieldsGer	10.1186/s12913-016-1317-6 doi (DE-627)SPR028278461 (SPR)s12913-016-1317-6-e DE-627 ger DE-627 rakwb eng Onega, Tracy verfasserin aut Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Onega et al. 2016 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. Beast cancer (dpeaa)DE-He213 Breast MRI (dpeaa)DE-He213 Diagnostic/preoperative breast MRI (dpeaa)DE-He213 and cost of breast MRI (dpeaa)DE-He213 Tosteson, Anna N.A. aut Weiss, Julie aut Alford-Teaster, Jennifer aut Hubbard, Rebecca A. aut Henderson, Louise M. aut Kerlikowske, Karla aut Goodrich, Martha E. aut O’Donoghue, Cristina aut Wernli, Karen J. aut DeMartini, Wendy B. aut Virnig, Beth A aut Enthalten in BMC health services research London : BioMed Central, 2001 16(2016), 1 vom: 27. Feb. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:16 year:2016 number:1 day:27 month:02 https://dx.doi.org/10.1186/s12913-016-1317-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2016 1 27 02
allfieldsSound	10.1186/s12913-016-1317-6 doi (DE-627)SPR028278461 (SPR)s12913-016-1317-6-e DE-627 ger DE-627 rakwb eng Onega, Tracy verfasserin aut Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Onega et al. 2016 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. Beast cancer (dpeaa)DE-He213 Breast MRI (dpeaa)DE-He213 Diagnostic/preoperative breast MRI (dpeaa)DE-He213 and cost of breast MRI (dpeaa)DE-He213 Tosteson, Anna N.A. aut Weiss, Julie aut Alford-Teaster, Jennifer aut Hubbard, Rebecca A. aut Henderson, Louise M. aut Kerlikowske, Karla aut Goodrich, Martha E. aut O’Donoghue, Cristina aut Wernli, Karen J. aut DeMartini, Wendy B. aut Virnig, Beth A aut Enthalten in BMC health services research London : BioMed Central, 2001 16(2016), 1 vom: 27. Feb. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:16 year:2016 number:1 day:27 month:02 https://dx.doi.org/10.1186/s12913-016-1317-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2016 1 27 02
language	English
source	Enthalten in BMC health services research 16(2016), 1 vom: 27. Feb. volume:16 year:2016 number:1 day:27 month:02
sourceStr	Enthalten in BMC health services research 16(2016), 1 vom: 27. Feb. volume:16 year:2016 number:1 day:27 month:02
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Beast cancer Breast MRI Diagnostic/preoperative breast MRI and cost of breast MRI
isfreeaccess_bool	true
container_title	BMC health services research
authorswithroles_txt_mv	Onega, Tracy @@aut@@ Tosteson, Anna N.A. @@aut@@ Weiss, Julie @@aut@@ Alford-Teaster, Jennifer @@aut@@ Hubbard, Rebecca A. @@aut@@ Henderson, Louise M. @@aut@@ Kerlikowske, Karla @@aut@@ Goodrich, Martha E. @@aut@@ O’Donoghue, Cristina @@aut@@ Wernli, Karen J. @@aut@@ DeMartini, Wendy B. @@aut@@ Virnig, Beth A @@aut@@
publishDateDaySort_date	2016-02-27T00:00:00Z
hierarchy_top_id	331018756
id	SPR028278461
language_de	englisch
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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.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Beast cancer</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Breast MRI</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Diagnostic/preoperative breast MRI</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">and cost of breast MRI</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Tosteson, Anna N.A.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Weiss, Julie</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Alford-Teaster, Jennifer</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Hubbard, Rebecca A.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Henderson, Louise M.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Kerlikowske, Karla</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Goodrich, Martha E.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">O’Donoghue, Cristina</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Wernli, Karen J.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">DeMartini, Wendy B.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Virnig, Beth A</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">BMC health services research</subfield><subfield code="d">London : BioMed Central, 2001</subfield><subfield code="g">16(2016), 1 vom: 27. 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author	Onega, Tracy
spellingShingle	Onega, Tracy misc Beast cancer misc Breast MRI misc Diagnostic/preoperative breast MRI misc and cost of breast MRI Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis
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topic_title	Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis Beast cancer (dpeaa)DE-He213 Breast MRI (dpeaa)DE-He213 Diagnostic/preoperative breast MRI (dpeaa)DE-He213 and cost of breast MRI (dpeaa)DE-He213
topic	misc Beast cancer misc Breast MRI misc Diagnostic/preoperative breast MRI misc and cost of breast MRI
topic_unstemmed	misc Beast cancer misc Breast MRI misc Diagnostic/preoperative breast MRI misc and cost of breast MRI
topic_browse	misc Beast cancer misc Breast MRI misc Diagnostic/preoperative breast MRI misc and cost of breast MRI
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title	Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis
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title_full	Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis
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journal	BMC health services research
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author_browse	Onega, Tracy Tosteson, Anna N.A. Weiss, Julie Alford-Teaster, Jennifer Hubbard, Rebecca A. Henderson, Louise M. Kerlikowske, Karla Goodrich, Martha E. O’Donoghue, Cristina Wernli, Karen J. DeMartini, Wendy B. Virnig, Beth A
container_volume	16
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author-letter	Onega, Tracy
doi_str_mv	10.1186/s12913-016-1317-6
title_sort	costs of diagnostic and preoperative workup with and without breast mri in older women with a breast cancer diagnosis
title_auth	Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis
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. © Onega et al. 2016
abstractGer	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. © Onega et al. 2016
abstract_unstemmed	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. © Onega et al. 2016
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title_short	Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis
url	https://dx.doi.org/10.1186/s12913-016-1317-6
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author2	Tosteson, Anna N.A. Weiss, Julie Alford-Teaster, Jennifer Hubbard, Rebecca A. Henderson, Louise M. Kerlikowske, Karla Goodrich, Martha E. O’Donoghue, Cristina Wernli, Karen J. DeMartini, Wendy B. Virnig, Beth A
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up_date	2024-07-03T18:26:12.198Z
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Costs of diagnostic and preoperative workup with and without breast MRI in older women with a breast cancer diagnosis

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