Accession Number : ADB253648


Title :   Increasing Access to Modern Multidisciplinary Breast Cancer Care


Descriptive Note : Annual rept. 22 Jul 1998-21 Jul 1999


Corporate Author : NORTHWESTERN UNIV EVANSTON IL


Personal Author(s) : Morrow, Monica


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/b253648.pdf


Report Date : Aug 1999


Pagination or Media Count : 132


Abstract : The purpose of the component studies in this grant is to increase the utilization of available interventions for the screening, diagnosis, and treatment of breast cancer, particularly by the medically underserved. Risk factor information has been obtained for 7498 healthy women. To date, 991 non-English-speaking women have had breast cancer teaching through a peer health educator, and 48% have gone on to have mammograms. 99 nurses from city/minority health clinics have undergone a 16-hour educational intervention, with post-test scoring improving in 81 and 84% improving breast exam skills on a standardized patient. A randomized trial of the effect of same-day mammography on patient compliance, utilizing different practice settings, has enrolled 166 of 200 women in a public health clinic and completed enrollment of 120 from an internal medicine private practice, and 177 Hispanic women have been randomized to a dietary intervention study. Interactive video conferencing is successfully occurring at off-site hospitals. Data has been collected on 1121 core biopsies and 501 surgical biopsies for a study of cost-effectiveness of core biopsy, and 41 patients entered into a randomized trial of cost effectiveness of inpatient vs outpatient bone marrow transplantation.


Descriptors :   *BREAST CANCER , *HEALTH CARE MANAGEMENT , COST EFFECTIVENESS , EDUCATION , RANDOM VARIABLES , MINORITIES , DIET , INTERVENTION , SELECTION , CONFERENCING(COMMUNICATIONS) , MAMMOGRAPHY


Subject Categories : Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE