Lack of Impact of the 2009 USPSTF Guidelines on Rates of Mammography Screening
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作者:
Brown, Clare
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Univ Arkansas Med Sci, Dept Hlth Policy & Management, Fay W Boozman Coll Publ Hlth, Little Rock, AR 72205 USAUniv Arkansas Med Sci, Dept Hlth Policy & Management, Fay W Boozman Coll Publ Hlth, Little Rock, AR 72205 USA
Brown, Clare
[1
]
Nevola, Adrienne
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Univ Arkansas Med Sci, Dept Hlth Policy & Management, Fay W Boozman Coll Publ Hlth, Little Rock, AR 72205 USAUniv Arkansas Med Sci, Dept Hlth Policy & Management, Fay W Boozman Coll Publ Hlth, Little Rock, AR 72205 USA
Nevola, Adrienne
[1
]
Martin, Bradley C.
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Univ Arkansas Med Sci, Div Pharmaceut Evaluat & Policy, Little Rock, AR 72205 USAUniv Arkansas Med Sci, Dept Hlth Policy & Management, Fay W Boozman Coll Publ Hlth, Little Rock, AR 72205 USA
Martin, Bradley C.
[2
]
机构:
[1] Univ Arkansas Med Sci, Dept Hlth Policy & Management, Fay W Boozman Coll Publ Hlth, Little Rock, AR 72205 USA
[2] Univ Arkansas Med Sci, Div Pharmaceut Evaluat & Policy, Little Rock, AR 72205 USA
Background: In November 2009, the United States Preventive Services Task Force (USPSTF) changed their mammography screening guidelines from recommending a screen every 1-2 years for women older than 40 years. The revised guideline recommends against regular screening for women aged 40-49 and recommends biennial screening for women aged 50-74. Research Design: We used autoregressive integrated moving-average (ARIMA) time series modeling to estimate the effect of the USPSTF 2009 guidelines on trends in screening rates. Enrollment and encounter files from the PharMetrics LifeLink+ commercial insurance claims database, years 2006-2014, were linked to determine monthly screening rates. The main outcome measure was mammography screening rates per 1,000 commercially insured women aged 40-49 or aged 50-64. Results: The study sample included 493,347 women aged 40-49 years with at least 1 month of eligibility and 658,052 women aged 50-64 years with at least 1 month of eligibility. There were 1,305,375 total screening mammograms from 2007 to 2014. Average monthly mammography screening rates from 2007 to 2014 were 40.4 per 1,000 women aged 40-49 and 54.8 per 1,000 women aged 50-64. There was a temporary decline in monthly screening rates of 11.8% and 11.2% for the 40-49 and 50-64 age groups, respectively, in the 2-month period after the guideline change (January and February 2010), but the rates quickly returned to pre-USPSTF trend levels afterward. Conclusion: Implementation of the USPSTF 2009 guidelines was not associated with a persistent long-term change in mammography screening rates over the next 5 years, despite a temporary decline of 2 months immediately following the guidelines.
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页码:875 / 884
页数:10
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Center for Community Interventions on Childrearing, Oregon Research Institute, Eugene OR
Oregon Research Institute, 1715 Franklin BoulevardCenter for Community Interventions on Childrearing, Oregon Research Institute, Eugene OR
Biglan A.
Ary D.
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Center for Community Interventions on Childrearing, Oregon Research Institute, Eugene ORCenter for Community Interventions on Childrearing, Oregon Research Institute, Eugene OR
Ary D.
Wagenaar A.C.
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University of Minnesota School of Public Health, Minneapolis MICenter for Community Interventions on Childrearing, Oregon Research Institute, Eugene OR
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St Charles Hlth Syst, Qual Dept, Cent Oregon, OR USA
Oregon Hlth & Sci Univ, Dept Radiat Med, Portland, OR 97201 USA
Univ Texas Med Sch Houston, Houston, TX USASt Charles Hlth Syst, Qual Dept, Cent Oregon, OR USA
Bleyer, Archie
Welch, H. Gilbert
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Geisel Sch Med Dartmouth, Dartmouth Inst Hlth Policy & Clin Practice, Hanover, NH USASt Charles Hlth Syst, Qual Dept, Cent Oregon, OR USA
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Center for Community Interventions on Childrearing, Oregon Research Institute, Eugene OR
Oregon Research Institute, 1715 Franklin BoulevardCenter for Community Interventions on Childrearing, Oregon Research Institute, Eugene OR
Biglan A.
Ary D.
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Center for Community Interventions on Childrearing, Oregon Research Institute, Eugene ORCenter for Community Interventions on Childrearing, Oregon Research Institute, Eugene OR
Ary D.
Wagenaar A.C.
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University of Minnesota School of Public Health, Minneapolis MICenter for Community Interventions on Childrearing, Oregon Research Institute, Eugene OR
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St Charles Hlth Syst, Qual Dept, Cent Oregon, OR USA
Oregon Hlth & Sci Univ, Dept Radiat Med, Portland, OR 97201 USA
Univ Texas Med Sch Houston, Houston, TX USASt Charles Hlth Syst, Qual Dept, Cent Oregon, OR USA
Bleyer, Archie
Welch, H. Gilbert
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机构:
Geisel Sch Med Dartmouth, Dartmouth Inst Hlth Policy & Clin Practice, Hanover, NH USASt Charles Hlth Syst, Qual Dept, Cent Oregon, OR USA