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    Predictors of timely follow-up after abnormal cancer screening among women seeking care at urban community health centers

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    Authors
    Battaglia, Tracy A.
    Santana, M. Christina
    Bak, Sharon
    Gokhale, Manjusha
    Lash, Timothy L.
    Ash, Arlene S.
    Kalish, Richard
    Tringale, Stephen
    Taylor, James O.
    Freund, Karen M.
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2010-01-07
    Keywords
    Adolescent
    Adult
    Aged
    Breast Neoplasms
    Community Health Centers
    *Continuity of Patient Care
    *Early Detection of Cancer
    Ethnic Groups
    Female
    Health Behavior
    Healthcare Disparities
    Humans
    Mammography
    Massachusetts
    Middle Aged
    Socioeconomic Factors
    Urban Population
    Uterine Cervical Neoplasms
    Vaginal Smears
    Young Adult
    Biostatistics
    Epidemiology
    Health Services Research
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    Link to Full Text
    http://dx.doi.org/10.1002/cncr.24851
    Abstract
    BACKGROUND: We sought to measure time and identify predictors of timely follow-up among a cohort of racially/ethnically diverse inner city women with breast and cervical cancer screening abnormalities. METHODS: Eligible women had an abnormality detected on a mammogram or Papanicolaou (Pap) test between January 2004 and December 2005 in 1 of 6 community health centers in Boston, Massachusetts. Retrospective chart review allowed us to measure time to diagnostic resolution. We used Cox proportional hazards models to develop predictive models for timely resolution (defined as definitive diagnostic services completed within 180 days from index abnormality). RESULTS: Among 523 women with mammography abnormalities and 474 women with Pap test abnormalities, >90% achieved diagnostic resolution within 12 months. Median time to resolution was longer for Pap test than for mammography abnormalities (85 vs 27 days). Site of care, rather than any sociodemographic characteristic of individuals, including race/ethnicity, was the only significant predictor of timely follow-up for both mammogram and Pap test abnormalities. CONCLUSIONS: Site-specific community-based interventions may be the most effective interventions to reduce cancer health disparities when addressing the needs of underserved populations.
    Source
    Cancer. 2010 Feb 15;116(4):913-21. Link to article on publisher's site
    DOI
    10.1002/cncr.24851
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/47616
    PubMed ID
    20052731
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1002/cncr.24851
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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