Accession Number:

ADB239320

Title:

Increasing Access to Modern Multidisciplinary Breast Cancer Care

Descriptive Note:

Annual rept. 22 Jul 9177-21 Jul 1998

Corporate Author:

NORTHWESTERN UNIV EVANSTON IL

Personal Author(s):

Report Date:

1998-08-01

Pagination or Media Count:

80.0

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 5000 healthy women. To date, 738 non-English-speaking women have had breast cancer teaching through a peer health educator, and 28 have gone on to have mammograms. 69 nurses from cityminority health clinics have undergone a 16-hour educational intervention, with post-test scoring above the 75th percentile for 94 of participants vs. 56 on pretesting, and 82 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 97 women in a public health clinic and 74 from an internal medicine private practice, and 79 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 476 core biopsies and 335 surgical biopsies for a study of cost-effectiveness of core biopsy, and 26 patients entered into a randomized trial of cost effectiveness of inpatient vs outpatient bone marrow transplantation.

Subject Categories:

  • Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE