Effectiveness of decentralized community-based screening, detection, and treatment of breast cancer in low-income, uninsured women. The American surgeon [Am Surg] Journal article

Title	Effectiveness of decentralized community-based screening, detection, and treatment of breast cancer in low-income, uninsured women.
Author(s)	Bhaskara A, Altamirano M, Trisal V, Paz IB, Lai LL
Institution	Department of General and Oncologic Surgery, City of Hope, Duarte, California 91010, USA.
Source	Am Surg 2008 Oct; 74(10):1017-21.
Abstract	Different systems exist currently in the provision of breast care to low-income, uninsured women. We assessed the efficacy of screening, diagnosis, and treatment of breast cancer in this patient population through a decentralized network of providers. We retrospectively reviewed charts of all patients referred for evaluation and treatment under the Cancer Detection Program: Every Woman Counts (CDP:EWC), the California equivalent of the National Breast and Cervical Cancer Detection and Prevention Program, in a suburban area of Los Angeles County. A total of 972 CDP:EWC screening mammograms was performed in the Antelope Valley during a 7-year study period (2000 to 2007). Sixty-two screened women aged 40 to 64 years were referred for further evaluation. Breast cancer detection rate per screening mammogram was 0.8 per cent; 80 per cent were early-stage breast cancer. The majority of the women (nine of 15) underwent breast conservation surgery. The axilla was staged using sentinel lymph node dissection and/or axillary lymph node dissection. Adjuvant chemotherapy and radiation were administered to all eligible patients. Compliance with published practice guidelines was high. This suggests that a decentralized community-based network of providers may be an effective model to deliver breast care to a low-income, uninsured patient population.
Language	eng
Pub Type(s)	Journal Article Research Support, Non-U.S. Gov't
PubMed ID	18942635

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