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Anand K Narayan - One of the best experts on this subject based on the ideXlab platform.

  • using ct encounters to improve colorectal cancer screening utilization cross sectional Survey results from the national health interview Survey
    Current Problems in Diagnostic Radiology, 2021
    Co-Authors: Anand K Narayan, Diego B Lopez, Randy C Miles, Ali Pourvaziri, Avinash Kambadakone, Efren J Flores
    Abstract:

    Abstract Purpose Millions of patients undergo CT imaging examinations every year. These encounters may represent opportunities to improve colorectal cancer (CRC) screening rates among patients who have not received recommended CRC screening. Using a nationally representative cross-sectional Survey, our purpose was to estimate the proportion of patients who have undergone CT examinations who have not received recommended CRC screening. Methods Survey respondents aged 45-75 years in the 2015 National Health Interview Survey without history of CRC were included. Proportion of patients who have undergone CT examinations among those who have not received recommended CRC screening was estimated. Multiple variable logistic regression analyses were performed to evaluate the association between sociodemographic characteristics and CRC screening adherence. Analyses were conducted accounting for Complex Survey Design features. Results Sixteen thousand two hundred and six Survey respondents met inclusion criteria. About 44.3% (43.1, 45.5) reported having ever received a CT scan and 50.8% (49.6, 51.9) underwent CRC screening. Among those who previously had CT scans, Asian race participants and participants without health insurance coverage had lower odds of adherence, while increasing household income and education were associated with higher odds of adherence (P Conclusion Among patients who have not received recommended CRC screening, nearly 1 out of 3 report having undergone a CT examination. CT encounters may represent opportunities to improve overall CRC screening rates.

  • lung cancer screening eligibility and use with low dose computed tomography results from the 2018 behavioral risk factor surveillance system cross sectional Survey
    Cancer, 2021
    Co-Authors: Anand K Narayan, Joanne O Shepard, Yasha Gupta, Brent P Little, Efren J Flores
    Abstract:

    Background In randomized controlled trials, lung cancer screening with low-dose chest computed tomography (LCS) has been reported to reduce lung cancer mortality. Although initial studies suggested that only approximately 5% of eligible patients have undergone LCS, recent studies have indicated that use of LCS may be increasing nationwide. The objective of the current study was to estimate recent LCS use using cross-sectional Survey data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) Survey. Methods The BRFSS is a nationally representative, cross-sectional telephone Survey of adults in the United States (response rate of approximately 50%). The 2018 BRFSS Survey included questions regarding LCS eligibility and use in 8 states. The primary outcome was the percentage of participants (aged 55-79 years with a smoking history of >30 pack-years) who reported undergoing LCS. Logistic regression analyses evaluated the association between LCS use and sociodemographic characteristics, adjusted for potential confounders and accounting for Complex Survey Design elements. Results A total of 26,910 participants were included, 9.9% of whom were eligible for LCS (95% CI, 8.8%-10.6%). Of the eligible patients, 19.2% reported undergoing LCS (95% CI, 14.0%-24.4%). Approximately 16.4% of current smokers were eligible for LCS (95% CI, 14.2%-18.6%). In our multiple variable analyses of eligible patients, age, sex, marital status, current smoking status, and race were not found to be associated with statistically significant differences in reported LCS (P > .05). Retired patients, patients with personal physicians, and patients who did not complete a high school education were more likely to report receiving LCS (P Conclusions Compared with previously published studies, the results of the current study suggested that LCS use is increasing. However, LCS use remains low (19%) among eligible participants.

  • potential of using mammography screening appointments to identify high risk women cross sectional Survey results from the national health interview Survey
    Breast Cancer Research and Treatment, 2021
    Co-Authors: Anand K Narayan, Constance D Lehman, Sarah F. Mercaldo, Erica T. Warner, Yasha Gupta, Randy C Miles
    Abstract:

    Mammography screening encounters may represent ideal opportunities to identify high-risk women for risk-based screening. During mammography appointments, radiology practices evaluate breast density and ascertain known breast cancer risk factors. Our purpose was to evaluate the potential for mammographic screening encounters to identify high-risk women by estimating the (1) proportion of high-risk women who report that they have undergone mammographic screening and the (2) proportion of high-risk women who receive recommendations for breast MRI screening. Women ages 30–85 without breast cancer histories were included from the 2015 National Health Interview Survey, a nationally representative cross-sectional household Survey (response rate 80%). Breast Cancer Risk Assessment Tool was used to determine high-risk (lifetime risk>20%). Among high-risk women, primary outcome was proportion reporting mammography screening, secondary outcome was receipt of a breast MRI recommendation after recent mammogram, accounting for Complex Survey Design. 14,958 women were included. 1.0% were high-risk of whom: 91.9% ever had a mammogram, 68.0% had a mammogram within the last year, 81.5% had a mammogram within the last 2 years. 6.4% were recommended to undergo breast MRI. Among high-risk women, women with dense breast tissue were more likely (OR 496.0, 95%CI 52.6,4674.0) and older women were less likely (OR 0.91, 95%CI 0.84,0.99) to receive recommendations for breast MRI. Among high-risk women, 92% reported undergoing at least one mammogram in their lives. 94% did not receive recommendations for breast MRI screening and 32% did not have a mammogram within the last year. To identify high-risk women, breast imaging centers should consider determining lifetime breast cancer risk during mammography screening visits.

  • Potential of using mammography screening appointments to identify high-risk women: cross sectional Survey results from the national health interview Survey
    Breast Cancer Research and Treatment, 2020
    Co-Authors: Anand K Narayan, Constance D Lehman, Sarah F. Mercaldo, Yasha P. Gupta, Erica T. Warner, Randy C Miles
    Abstract:

    Purpose Mammography screening encounters may represent ideal opportunities to identify high-risk women for risk-based screening. During mammography appointments, radiology practices evaluate breast density and ascertain known breast cancer risk factors. Our purpose was to evaluate the potential for mammographic screening encounters to identify high-risk women by estimating the (1) proportion of high-risk women who report that they have undergone mammographic screening and the (2) proportion of high-risk women who receive recommendations for breast MRI screening. Methods Women ages 30–85 without breast cancer histories were included from the 2015 National Health Interview Survey, a nationally representative cross-sectional household Survey (response rate 80%). Breast Cancer Risk Assessment Tool was used to determine high-risk (lifetime risk>20%). Among high-risk women, primary outcome was proportion reporting mammography screening, secondary outcome was receipt of a breast MRI recommendation after recent mammogram, accounting for Complex Survey Design. Results 14,958 women were included. 1.0% were high-risk of whom: 91.9% ever had a mammogram, 68.0% had a mammogram within the last year, 81.5% had a mammogram within the last 2 years. 6.4% were recommended to undergo breast MRI. Among high-risk women, women with dense breast tissue were more likely (OR 496.0, 95%CI 52.6,4674.0) and older women were less likely (OR 0.91, 95%CI 0.84,0.99) to receive recommendations for breast MRI. Conclusions Among high-risk women, 92% reported undergoing at least one mammogram in their lives. 94% did not receive recommendations for breast MRI screening and 32% did not have a mammogram within the last year. To identify high-risk women, breast imaging centers should consider determining lifetime breast cancer risk during mammography screening visits.

  • assessing eligibility for lung cancer screening among women undergoing screening mammography cross sectional Survey results from the national health interview Survey
    Journal of The American College of Radiology, 2019
    Co-Authors: Diego B Lopez, Efren J Flores, Randy C Miles, Gary X Wang, Mckinley Glover, Joanne O Shepard, Constance D Lehman, Anand K Narayan
    Abstract:

    Abstract Purpose Millions of women undergo mammography screening each year, presenting an opportunity for radiologists to identify women eligible for lung cancer screening (LCS) with low-dose chest CT and smoking cessation counseling. The purpose of our study was to estimate the proportion of women eligible for LCS and tobacco cessation counseling among women reporting mammography screening within the previous 2 years using nationally representative cross-sectional Survey data. Methods Women between the ages of 55 and 74 years in the 2015 National Health Interview Survey without history of lung or breast cancer who reported mammography use in the previous 2 years were included. The primary outcome was the weighted proportion of women eligible for LCS. Secondary outcomes included self-reported receipt of LCS and current smoking. Bivariate and multiple variable logistic regression analyses were performed to evaluate the association between primary and secondary outcomes and sociodemographics, accounting for Complex Survey Design elements. Results Among 3,806 women meeting inclusion criteria, 7.1% were eligible for LCS and 9.8% were current smokers. Multivariable analyses demonstrated that LCS-eligible women were more likely to be white, younger, and non-college-educated and have lower household incomes (all P Conclusions The majority of LCS-eligible women received mammography screening but did not receive LCS. Mammography encounters may represent prime opportunities to increase LCS participation among patients already receiving imaging-based screening services.

Randy C Miles - One of the best experts on this subject based on the ideXlab platform.

  • using ct encounters to improve colorectal cancer screening utilization cross sectional Survey results from the national health interview Survey
    Current Problems in Diagnostic Radiology, 2021
    Co-Authors: Anand K Narayan, Diego B Lopez, Randy C Miles, Ali Pourvaziri, Avinash Kambadakone, Efren J Flores
    Abstract:

    Abstract Purpose Millions of patients undergo CT imaging examinations every year. These encounters may represent opportunities to improve colorectal cancer (CRC) screening rates among patients who have not received recommended CRC screening. Using a nationally representative cross-sectional Survey, our purpose was to estimate the proportion of patients who have undergone CT examinations who have not received recommended CRC screening. Methods Survey respondents aged 45-75 years in the 2015 National Health Interview Survey without history of CRC were included. Proportion of patients who have undergone CT examinations among those who have not received recommended CRC screening was estimated. Multiple variable logistic regression analyses were performed to evaluate the association between sociodemographic characteristics and CRC screening adherence. Analyses were conducted accounting for Complex Survey Design features. Results Sixteen thousand two hundred and six Survey respondents met inclusion criteria. About 44.3% (43.1, 45.5) reported having ever received a CT scan and 50.8% (49.6, 51.9) underwent CRC screening. Among those who previously had CT scans, Asian race participants and participants without health insurance coverage had lower odds of adherence, while increasing household income and education were associated with higher odds of adherence (P Conclusion Among patients who have not received recommended CRC screening, nearly 1 out of 3 report having undergone a CT examination. CT encounters may represent opportunities to improve overall CRC screening rates.

  • potential of using mammography screening appointments to identify high risk women cross sectional Survey results from the national health interview Survey
    Breast Cancer Research and Treatment, 2021
    Co-Authors: Anand K Narayan, Constance D Lehman, Sarah F. Mercaldo, Erica T. Warner, Yasha Gupta, Randy C Miles
    Abstract:

    Mammography screening encounters may represent ideal opportunities to identify high-risk women for risk-based screening. During mammography appointments, radiology practices evaluate breast density and ascertain known breast cancer risk factors. Our purpose was to evaluate the potential for mammographic screening encounters to identify high-risk women by estimating the (1) proportion of high-risk women who report that they have undergone mammographic screening and the (2) proportion of high-risk women who receive recommendations for breast MRI screening. Women ages 30–85 without breast cancer histories were included from the 2015 National Health Interview Survey, a nationally representative cross-sectional household Survey (response rate 80%). Breast Cancer Risk Assessment Tool was used to determine high-risk (lifetime risk>20%). Among high-risk women, primary outcome was proportion reporting mammography screening, secondary outcome was receipt of a breast MRI recommendation after recent mammogram, accounting for Complex Survey Design. 14,958 women were included. 1.0% were high-risk of whom: 91.9% ever had a mammogram, 68.0% had a mammogram within the last year, 81.5% had a mammogram within the last 2 years. 6.4% were recommended to undergo breast MRI. Among high-risk women, women with dense breast tissue were more likely (OR 496.0, 95%CI 52.6,4674.0) and older women were less likely (OR 0.91, 95%CI 0.84,0.99) to receive recommendations for breast MRI. Among high-risk women, 92% reported undergoing at least one mammogram in their lives. 94% did not receive recommendations for breast MRI screening and 32% did not have a mammogram within the last year. To identify high-risk women, breast imaging centers should consider determining lifetime breast cancer risk during mammography screening visits.

  • Potential of using mammography screening appointments to identify high-risk women: cross sectional Survey results from the national health interview Survey
    Breast Cancer Research and Treatment, 2020
    Co-Authors: Anand K Narayan, Constance D Lehman, Sarah F. Mercaldo, Yasha P. Gupta, Erica T. Warner, Randy C Miles
    Abstract:

    Purpose Mammography screening encounters may represent ideal opportunities to identify high-risk women for risk-based screening. During mammography appointments, radiology practices evaluate breast density and ascertain known breast cancer risk factors. Our purpose was to evaluate the potential for mammographic screening encounters to identify high-risk women by estimating the (1) proportion of high-risk women who report that they have undergone mammographic screening and the (2) proportion of high-risk women who receive recommendations for breast MRI screening. Methods Women ages 30–85 without breast cancer histories were included from the 2015 National Health Interview Survey, a nationally representative cross-sectional household Survey (response rate 80%). Breast Cancer Risk Assessment Tool was used to determine high-risk (lifetime risk>20%). Among high-risk women, primary outcome was proportion reporting mammography screening, secondary outcome was receipt of a breast MRI recommendation after recent mammogram, accounting for Complex Survey Design. Results 14,958 women were included. 1.0% were high-risk of whom: 91.9% ever had a mammogram, 68.0% had a mammogram within the last year, 81.5% had a mammogram within the last 2 years. 6.4% were recommended to undergo breast MRI. Among high-risk women, women with dense breast tissue were more likely (OR 496.0, 95%CI 52.6,4674.0) and older women were less likely (OR 0.91, 95%CI 0.84,0.99) to receive recommendations for breast MRI. Conclusions Among high-risk women, 92% reported undergoing at least one mammogram in their lives. 94% did not receive recommendations for breast MRI screening and 32% did not have a mammogram within the last year. To identify high-risk women, breast imaging centers should consider determining lifetime breast cancer risk during mammography screening visits.

  • assessing eligibility for lung cancer screening among women undergoing screening mammography cross sectional Survey results from the national health interview Survey
    Journal of The American College of Radiology, 2019
    Co-Authors: Diego B Lopez, Efren J Flores, Randy C Miles, Gary X Wang, Mckinley Glover, Joanne O Shepard, Constance D Lehman, Anand K Narayan
    Abstract:

    Abstract Purpose Millions of women undergo mammography screening each year, presenting an opportunity for radiologists to identify women eligible for lung cancer screening (LCS) with low-dose chest CT and smoking cessation counseling. The purpose of our study was to estimate the proportion of women eligible for LCS and tobacco cessation counseling among women reporting mammography screening within the previous 2 years using nationally representative cross-sectional Survey data. Methods Women between the ages of 55 and 74 years in the 2015 National Health Interview Survey without history of lung or breast cancer who reported mammography use in the previous 2 years were included. The primary outcome was the weighted proportion of women eligible for LCS. Secondary outcomes included self-reported receipt of LCS and current smoking. Bivariate and multiple variable logistic regression analyses were performed to evaluate the association between primary and secondary outcomes and sociodemographics, accounting for Complex Survey Design elements. Results Among 3,806 women meeting inclusion criteria, 7.1% were eligible for LCS and 9.8% were current smokers. Multivariable analyses demonstrated that LCS-eligible women were more likely to be white, younger, and non-college-educated and have lower household incomes (all P Conclusions The majority of LCS-eligible women received mammography screening but did not receive LCS. Mammography encounters may represent prime opportunities to increase LCS participation among patients already receiving imaging-based screening services.

Constance D Lehman - One of the best experts on this subject based on the ideXlab platform.

  • potential of using mammography screening appointments to identify high risk women cross sectional Survey results from the national health interview Survey
    Breast Cancer Research and Treatment, 2021
    Co-Authors: Anand K Narayan, Constance D Lehman, Sarah F. Mercaldo, Erica T. Warner, Yasha Gupta, Randy C Miles
    Abstract:

    Mammography screening encounters may represent ideal opportunities to identify high-risk women for risk-based screening. During mammography appointments, radiology practices evaluate breast density and ascertain known breast cancer risk factors. Our purpose was to evaluate the potential for mammographic screening encounters to identify high-risk women by estimating the (1) proportion of high-risk women who report that they have undergone mammographic screening and the (2) proportion of high-risk women who receive recommendations for breast MRI screening. Women ages 30–85 without breast cancer histories were included from the 2015 National Health Interview Survey, a nationally representative cross-sectional household Survey (response rate 80%). Breast Cancer Risk Assessment Tool was used to determine high-risk (lifetime risk>20%). Among high-risk women, primary outcome was proportion reporting mammography screening, secondary outcome was receipt of a breast MRI recommendation after recent mammogram, accounting for Complex Survey Design. 14,958 women were included. 1.0% were high-risk of whom: 91.9% ever had a mammogram, 68.0% had a mammogram within the last year, 81.5% had a mammogram within the last 2 years. 6.4% were recommended to undergo breast MRI. Among high-risk women, women with dense breast tissue were more likely (OR 496.0, 95%CI 52.6,4674.0) and older women were less likely (OR 0.91, 95%CI 0.84,0.99) to receive recommendations for breast MRI. Among high-risk women, 92% reported undergoing at least one mammogram in their lives. 94% did not receive recommendations for breast MRI screening and 32% did not have a mammogram within the last year. To identify high-risk women, breast imaging centers should consider determining lifetime breast cancer risk during mammography screening visits.

  • Potential of using mammography screening appointments to identify high-risk women: cross sectional Survey results from the national health interview Survey
    Breast Cancer Research and Treatment, 2020
    Co-Authors: Anand K Narayan, Constance D Lehman, Sarah F. Mercaldo, Yasha P. Gupta, Erica T. Warner, Randy C Miles
    Abstract:

    Purpose Mammography screening encounters may represent ideal opportunities to identify high-risk women for risk-based screening. During mammography appointments, radiology practices evaluate breast density and ascertain known breast cancer risk factors. Our purpose was to evaluate the potential for mammographic screening encounters to identify high-risk women by estimating the (1) proportion of high-risk women who report that they have undergone mammographic screening and the (2) proportion of high-risk women who receive recommendations for breast MRI screening. Methods Women ages 30–85 without breast cancer histories were included from the 2015 National Health Interview Survey, a nationally representative cross-sectional household Survey (response rate 80%). Breast Cancer Risk Assessment Tool was used to determine high-risk (lifetime risk>20%). Among high-risk women, primary outcome was proportion reporting mammography screening, secondary outcome was receipt of a breast MRI recommendation after recent mammogram, accounting for Complex Survey Design. Results 14,958 women were included. 1.0% were high-risk of whom: 91.9% ever had a mammogram, 68.0% had a mammogram within the last year, 81.5% had a mammogram within the last 2 years. 6.4% were recommended to undergo breast MRI. Among high-risk women, women with dense breast tissue were more likely (OR 496.0, 95%CI 52.6,4674.0) and older women were less likely (OR 0.91, 95%CI 0.84,0.99) to receive recommendations for breast MRI. Conclusions Among high-risk women, 92% reported undergoing at least one mammogram in their lives. 94% did not receive recommendations for breast MRI screening and 32% did not have a mammogram within the last year. To identify high-risk women, breast imaging centers should consider determining lifetime breast cancer risk during mammography screening visits.

  • assessing eligibility for lung cancer screening among women undergoing screening mammography cross sectional Survey results from the national health interview Survey
    Journal of The American College of Radiology, 2019
    Co-Authors: Diego B Lopez, Efren J Flores, Randy C Miles, Gary X Wang, Mckinley Glover, Joanne O Shepard, Constance D Lehman, Anand K Narayan
    Abstract:

    Abstract Purpose Millions of women undergo mammography screening each year, presenting an opportunity for radiologists to identify women eligible for lung cancer screening (LCS) with low-dose chest CT and smoking cessation counseling. The purpose of our study was to estimate the proportion of women eligible for LCS and tobacco cessation counseling among women reporting mammography screening within the previous 2 years using nationally representative cross-sectional Survey data. Methods Women between the ages of 55 and 74 years in the 2015 National Health Interview Survey without history of lung or breast cancer who reported mammography use in the previous 2 years were included. The primary outcome was the weighted proportion of women eligible for LCS. Secondary outcomes included self-reported receipt of LCS and current smoking. Bivariate and multiple variable logistic regression analyses were performed to evaluate the association between primary and secondary outcomes and sociodemographics, accounting for Complex Survey Design elements. Results Among 3,806 women meeting inclusion criteria, 7.1% were eligible for LCS and 9.8% were current smokers. Multivariable analyses demonstrated that LCS-eligible women were more likely to be white, younger, and non-college-educated and have lower household incomes (all P Conclusions The majority of LCS-eligible women received mammography screening but did not receive LCS. Mammography encounters may represent prime opportunities to increase LCS participation among patients already receiving imaging-based screening services.

Diego B Lopez - One of the best experts on this subject based on the ideXlab platform.

  • using ct encounters to improve colorectal cancer screening utilization cross sectional Survey results from the national health interview Survey
    Current Problems in Diagnostic Radiology, 2021
    Co-Authors: Anand K Narayan, Diego B Lopez, Randy C Miles, Ali Pourvaziri, Avinash Kambadakone, Efren J Flores
    Abstract:

    Abstract Purpose Millions of patients undergo CT imaging examinations every year. These encounters may represent opportunities to improve colorectal cancer (CRC) screening rates among patients who have not received recommended CRC screening. Using a nationally representative cross-sectional Survey, our purpose was to estimate the proportion of patients who have undergone CT examinations who have not received recommended CRC screening. Methods Survey respondents aged 45-75 years in the 2015 National Health Interview Survey without history of CRC were included. Proportion of patients who have undergone CT examinations among those who have not received recommended CRC screening was estimated. Multiple variable logistic regression analyses were performed to evaluate the association between sociodemographic characteristics and CRC screening adherence. Analyses were conducted accounting for Complex Survey Design features. Results Sixteen thousand two hundred and six Survey respondents met inclusion criteria. About 44.3% (43.1, 45.5) reported having ever received a CT scan and 50.8% (49.6, 51.9) underwent CRC screening. Among those who previously had CT scans, Asian race participants and participants without health insurance coverage had lower odds of adherence, while increasing household income and education were associated with higher odds of adherence (P Conclusion Among patients who have not received recommended CRC screening, nearly 1 out of 3 report having undergone a CT examination. CT encounters may represent opportunities to improve overall CRC screening rates.

  • assessing eligibility for lung cancer screening among women undergoing screening mammography cross sectional Survey results from the national health interview Survey
    Journal of The American College of Radiology, 2019
    Co-Authors: Diego B Lopez, Efren J Flores, Randy C Miles, Gary X Wang, Mckinley Glover, Joanne O Shepard, Constance D Lehman, Anand K Narayan
    Abstract:

    Abstract Purpose Millions of women undergo mammography screening each year, presenting an opportunity for radiologists to identify women eligible for lung cancer screening (LCS) with low-dose chest CT and smoking cessation counseling. The purpose of our study was to estimate the proportion of women eligible for LCS and tobacco cessation counseling among women reporting mammography screening within the previous 2 years using nationally representative cross-sectional Survey data. Methods Women between the ages of 55 and 74 years in the 2015 National Health Interview Survey without history of lung or breast cancer who reported mammography use in the previous 2 years were included. The primary outcome was the weighted proportion of women eligible for LCS. Secondary outcomes included self-reported receipt of LCS and current smoking. Bivariate and multiple variable logistic regression analyses were performed to evaluate the association between primary and secondary outcomes and sociodemographics, accounting for Complex Survey Design elements. Results Among 3,806 women meeting inclusion criteria, 7.1% were eligible for LCS and 9.8% were current smokers. Multivariable analyses demonstrated that LCS-eligible women were more likely to be white, younger, and non-college-educated and have lower household incomes (all P Conclusions The majority of LCS-eligible women received mammography screening but did not receive LCS. Mammography encounters may represent prime opportunities to increase LCS participation among patients already receiving imaging-based screening services.

  • nationwide longitudinal trends in ct colonography utilization cross sectional Survey results from the 2010 and 2015 national health interview Survey
    Journal of The American College of Radiology, 2019
    Co-Authors: Anand K Narayan, Diego B Lopez, Avinash Kambadakone, Debra A Gervais
    Abstract:

    Abstract Purpose Colon cancer screening reduces deaths from colorectal cancer. Screening rates have plateaued; however, studies have found that giving patients a choice between different screening tests improves adherence. CT colonography is a minimally invasive screening test with high sensitivity for colonic polyps (>1 cm). With increasing insurance coverage of CT colonography nationwide, there are limited estimates of CT colonography utilization over time. Our purpose was to estimate CT colonography utilization over time using nationally representative cross-sectional Survey data. Methods We utilized 2010 and 2015 National Health Interview Survey cross-sectional data. Participants between ages 50 and 75 without colorectal cancer history were included. Accounting for Complex Survey Design elements, logistic regression analyses evaluated changes in CT colonography utilization over time, adjusted for potential confounders, and stratified by insurance and age. Results Overall, 21,686 respondents were included (8,965 in 2010, 12,721 in 2015). Reported CT colonography utilization decreased from 1.2% to 0.9% (odds ratio [OR] 0.92, 95% confidence interval [CI] 0.86-0.98). Stratified analyses revealed no changes in utilization in patients with private insurance (P = .35) and in patients younger than 65 (P = .07). Overall awareness of CT colonography decreased from 20.5% to 15.9% (OR 0.93, 95% CI 0.91-0.95). Reported optical colonoscopy utilization increased from 57.9% to 63.6% (OR 1.03, 95% CI 1.02-1.05). Conclusion Despite increasing self-reported utilization of optical colonoscopy from 2010 to 2015, Survey results suggest that CT colonography awareness (∼16%) and utilization (∼1%) remain low. Improved public awareness and coverage expansion to Medicare-aged populations will promote improved CT colonography utilization and overall colorectal cancer screening rates.

Sarah F. Mercaldo - One of the best experts on this subject based on the ideXlab platform.

  • potential of using mammography screening appointments to identify high risk women cross sectional Survey results from the national health interview Survey
    Breast Cancer Research and Treatment, 2021
    Co-Authors: Anand K Narayan, Constance D Lehman, Sarah F. Mercaldo, Erica T. Warner, Yasha Gupta, Randy C Miles
    Abstract:

    Mammography screening encounters may represent ideal opportunities to identify high-risk women for risk-based screening. During mammography appointments, radiology practices evaluate breast density and ascertain known breast cancer risk factors. Our purpose was to evaluate the potential for mammographic screening encounters to identify high-risk women by estimating the (1) proportion of high-risk women who report that they have undergone mammographic screening and the (2) proportion of high-risk women who receive recommendations for breast MRI screening. Women ages 30–85 without breast cancer histories were included from the 2015 National Health Interview Survey, a nationally representative cross-sectional household Survey (response rate 80%). Breast Cancer Risk Assessment Tool was used to determine high-risk (lifetime risk>20%). Among high-risk women, primary outcome was proportion reporting mammography screening, secondary outcome was receipt of a breast MRI recommendation after recent mammogram, accounting for Complex Survey Design. 14,958 women were included. 1.0% were high-risk of whom: 91.9% ever had a mammogram, 68.0% had a mammogram within the last year, 81.5% had a mammogram within the last 2 years. 6.4% were recommended to undergo breast MRI. Among high-risk women, women with dense breast tissue were more likely (OR 496.0, 95%CI 52.6,4674.0) and older women were less likely (OR 0.91, 95%CI 0.84,0.99) to receive recommendations for breast MRI. Among high-risk women, 92% reported undergoing at least one mammogram in their lives. 94% did not receive recommendations for breast MRI screening and 32% did not have a mammogram within the last year. To identify high-risk women, breast imaging centers should consider determining lifetime breast cancer risk during mammography screening visits.

  • Potential of using mammography screening appointments to identify high-risk women: cross sectional Survey results from the national health interview Survey
    Breast Cancer Research and Treatment, 2020
    Co-Authors: Anand K Narayan, Constance D Lehman, Sarah F. Mercaldo, Yasha P. Gupta, Erica T. Warner, Randy C Miles
    Abstract:

    Purpose Mammography screening encounters may represent ideal opportunities to identify high-risk women for risk-based screening. During mammography appointments, radiology practices evaluate breast density and ascertain known breast cancer risk factors. Our purpose was to evaluate the potential for mammographic screening encounters to identify high-risk women by estimating the (1) proportion of high-risk women who report that they have undergone mammographic screening and the (2) proportion of high-risk women who receive recommendations for breast MRI screening. Methods Women ages 30–85 without breast cancer histories were included from the 2015 National Health Interview Survey, a nationally representative cross-sectional household Survey (response rate 80%). Breast Cancer Risk Assessment Tool was used to determine high-risk (lifetime risk>20%). Among high-risk women, primary outcome was proportion reporting mammography screening, secondary outcome was receipt of a breast MRI recommendation after recent mammogram, accounting for Complex Survey Design. Results 14,958 women were included. 1.0% were high-risk of whom: 91.9% ever had a mammogram, 68.0% had a mammogram within the last year, 81.5% had a mammogram within the last 2 years. 6.4% were recommended to undergo breast MRI. Among high-risk women, women with dense breast tissue were more likely (OR 496.0, 95%CI 52.6,4674.0) and older women were less likely (OR 0.91, 95%CI 0.84,0.99) to receive recommendations for breast MRI. Conclusions Among high-risk women, 92% reported undergoing at least one mammogram in their lives. 94% did not receive recommendations for breast MRI screening and 32% did not have a mammogram within the last year. To identify high-risk women, breast imaging centers should consider determining lifetime breast cancer risk during mammography screening visits.