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Cancer. Author manuscript; available in PMC 2017 February 15. Published in final edited form as: Cancer. 2016 February 15; 122(4): 611–617. doi:10.1002/cncr.29805.
Disparities in the Use of Screening Breast MRI in Community Practice by Race, Ethnicity and Socioeconomic Status Jennifer S. Haas, MD, MSc Brigham and Women’s Hospital and Harvard Medical School Boston, MA
Author Manuscript
Deirdre A. Hill, Ph.D. University of New Mexico Cancer Research Center and School of Medicine Robert D Wellman, MS Group Health Research Institute, Seattle, WA Group Health Research Institute Rebecca A Hubbard, PhD Perelman School of Medicine, University of Pennsylvania Christoph I. Lee, MD MSHS Department of Radiology, University of Washington School of Medicine, Department of Health Services, University of Washington School of Public Health
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Karen J. Wernli, PhD Group Health Research Institute Natasha K. Stout, PhD Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA Anna N.A. Tosteson, ScD Geisel School of Medicine at Dartmouth and Norris Cotton Cancer Center Louise M. Henderson, MSPH PhD Department of Radiology, University of North Carolina at Chapel Hill Jennifer Alford-Teaster, MA, MPH Geisel School of Medicine at Dartmouth and Norris Cotton Cancer Center
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Tracy Onega, PhD, MA, MS Geisel School of Medicine at Dartmouth and Norris Cotton Cancer Center
Abstract Background—Uptake of breast magnetic resonance imaging (MRI) coupled with breast cancer risk assessment offers the opportunity to tailor the benefits and harms of screening strategies for
Please address correspondence to: Jennifer S. Haas MD, MSc, Division of General Medicine and Primary Care, Brigham and Women’s Hospital 1620 Tremont Street, Boston, MA 02120, Tel (617) 525-6652 / Fax (617) 732-7072/ [email protected]. None of the authors have a conflict of interest.
Haas et al.
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Author Manuscript
women with differing cancer risks. Despite the potential benefits, there is also concern for worsening population-based health disparities. Methods—Among 316,172 women aged 35-69 years from five Breast Cancer Surveillance Consortium registries (2007-2012), we examined 617,723 negative screening mammograms and 1,047 screening MRIs. We examined the relative risks (RRs) of MRI use by women with
Cancer. Author manuscript; available in PMC 2017 February 15. Published in final edited form as: Cancer. 2016 February 15; 122(4): 611–617. doi:10.1002/cncr.29805.
Disparities in the Use of Screening Breast MRI in Community Practice by Race, Ethnicity and Socioeconomic Status Jennifer S. Haas, MD, MSc Brigham and Women’s Hospital and Harvard Medical School Boston, MA
Author Manuscript
Deirdre A. Hill, Ph.D. University of New Mexico Cancer Research Center and School of Medicine Robert D Wellman, MS Group Health Research Institute, Seattle, WA Group Health Research Institute Rebecca A Hubbard, PhD Perelman School of Medicine, University of Pennsylvania Christoph I. Lee, MD MSHS Department of Radiology, University of Washington School of Medicine, Department of Health Services, University of Washington School of Public Health
Author Manuscript
Karen J. Wernli, PhD Group Health Research Institute Natasha K. Stout, PhD Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA Anna N.A. Tosteson, ScD Geisel School of Medicine at Dartmouth and Norris Cotton Cancer Center Louise M. Henderson, MSPH PhD Department of Radiology, University of North Carolina at Chapel Hill Jennifer Alford-Teaster, MA, MPH Geisel School of Medicine at Dartmouth and Norris Cotton Cancer Center
Author Manuscript
Tracy Onega, PhD, MA, MS Geisel School of Medicine at Dartmouth and Norris Cotton Cancer Center
Abstract Background—Uptake of breast magnetic resonance imaging (MRI) coupled with breast cancer risk assessment offers the opportunity to tailor the benefits and harms of screening strategies for
Please address correspondence to: Jennifer S. Haas MD, MSc, Division of General Medicine and Primary Care, Brigham and Women’s Hospital 1620 Tremont Street, Boston, MA 02120, Tel (617) 525-6652 / Fax (617) 732-7072/ [email protected]. None of the authors have a conflict of interest.
Haas et al.
Page 2
Author Manuscript
women with differing cancer risks. Despite the potential benefits, there is also concern for worsening population-based health disparities. Methods—Among 316,172 women aged 35-69 years from five Breast Cancer Surveillance Consortium registries (2007-2012), we examined 617,723 negative screening mammograms and 1,047 screening MRIs. We examined the relative risks (RRs) of MRI use by women with
