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Articles by Randy C. Miles
Sociodemographic Predictors of County-Level Mammography Screening Rates in the United States | Radiology: Imaging Cancer
Summary A national county-level model that incorporates sociodemographic factors associated with mammography screening engagement could be used to estimate expected screening rates based on each county’s sociodemographic profile. Key Points ■ This retrospective, cross-sectional study evaluated sociodemographic predictors of county-level mammography screening engagement using information from 3121 counties in the United States.
Impact of Health Care-Associated Cost Concerns on Mammography Utilization: Cross-Sectional Survey Results From the National Health Interview Survey
Health care–related cost concerns and financial toxicity are increasingly recognized barriers along the breast cancer care continuum. The purpose of this study was to evaluate the association between patient-reported cost concerns and screening mammography utilization. Survey participants aged 40 to 74 years from the 2018 National Health Interview Survey without personal history of breast cancer were included (response rate: 64%).
Addressing Racial and Ethnic Differences in Diagnostic Resolution of Abnormal Mammographic Findings
Identify all potential conflicts of interest that might be relevant to your comment. Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. Err on the side of full disclosure.
Oncology Peer Review On-The-Go: Routine Breast Cancer Screening in Average-Risk Women Younger Than 50 Years
August 16, 2021 Matthew Fowler, Ananth Ravi, PhD, Randy C. Miles, MD, MPH CancerNetwork’s latest podcast episode features a conversation with Anath Ravi, PhD, of MOLLI Surgical and Randy Miles, MD, MPH, of Massachusetts General Hospital on the risks and benefits of breast cancer screening for average-risk women under the age of 50 years.
Routine Breast Cancer Screening in Average-Risk Women Younger Than 50 Years: Current Paradigms Based on National Guidelines
Introduction Breast cancer poses a large health care burden.
Implementation and Utilization of a “Pink Card” Walk-In Screening Mammography Program Integrated With Physician Visits
Abstract Purpose The aim of this study was to evaluate the implementation and utilization of the Pink Card program, which links a physician-delivered reminder that a woman is due for screening mammography (SM) during an office visit with the opportunity to undergo walk-in screening.
Implementation of an Intimate Partner Violence Screening Assessment and Referral System in an Academic Women’s Imaging Department
Abstract Purpose One in five US women report that they have been victims of intimate partner violence (IPV) during their lifetime. With millions of women presenting for mammography every year, breast imaging centers may represent ideal venues to identify women at risk for IPV and refer them to appropriate support services. Our purpose was to evaluate implementation of a novel IPV screening and referral system for women presenting for mammography.
Analysis of the Effects of a Patient-Centered Rideshare Program on Missed Appointments and Timeliness for MRI Appointments at an Academic Medical Center
Abstract Purpose The aim of this study was to assess the differences in timeliness to MRI appointments and missed MRI appointment rates before and after the implementation of a rideshare program. Methods Retrospective analysis of a rideshare program was performed 9 months after implementation to compare the effects before and after implementation. Variables obtained included demographics, MRI appointment variables, and data related to rideshare use.
Patterns of Surveillance Advanced Imaging and Serum Tumor Biomarker Testing Following Launch of the Choosing Wisely Initiative
Background The Institute of Medicine estimates that nearly 30% of all medical expenses result from inappropriate or unnecessary practices, increasing strain on the US healthcare system.1 In oncology, total healthcare expenditures are projected to reach $173 billion by 2020, a $50 billion increase compared with 2010.2 Efforts to identify and improve practices by physicians, payers, and policymakers led to the Choosing Wisely campaign by the ABIM Foundation (ABIMF).
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