Patricia Carcaise?Edinboro|Cathy J. Bradley|Bassam Dahman
Surveillance mammography for Medicaid/Medicare breast cancer patients
Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University
surveillance mammography breast cancer survivors detect recurrences early treatment effective assessed receipt surveillance mammography elderly breast cancer survivors considering medicaid medicare dual eligibility minority status may make vulnerable poor surveillance carewe analyzed michigan medicare medicaid data patients age 66 years older diagnosed early stage breast cancer 1997 2000 using logistic regression proportional hazards models identified individual area level factors associated patients receipt timeliness surveillance mammography 3 years post treatmentin first year post cancer treatment patients received breast conserving surgery bcs radiation therapy likely receive surveillance mammography treated bcs alone 182 95 ci 148224 patients received bcs radiation treatment also greater probability receiving surveillance mammography sooner treated bcs alone hr 172 95 ci 156189 time treatment mammography longer older 80 years versus younger patients hr 055 95 ci 045066 greater comorbidity burden hr 059 95 ci 043081regardless race dual eligibility greater likelihood breast cancer patients received bcs radiation receive surveillance mammography receive sooner patients treated bcs alonedual eligible black elderly patients less likely receive radiation following bcs thus disparities across treatment surveillance continuum need investigated