The Early Detection Program (EDP) in Dade County, Florida provides a unique opportunity to evaluate an on-going, community-based, comprehensive breast cancer detection program. The applicant proposes to determine factors which either contribute to or inhibit the effectiveness of such an innovative community-based program. Factors affecting its generalizability will be examined with an explicit, concomitant goal to transfer the evaluated screening technology to other communities. Factors to be examined include utilization variables and continuity of care issues (including time elapsed) and patient satisfaction. Impact of the EDP will be measured relative to screening and biopsy rates, cancers detected, shifts in staging, survival and mortality. It is estimated that data on over 45,000 screening and more than 300 cancers, as well as comparable controls, will be available by the end of the proposed evaluation. Specifically, the study will compare random samples of screenees (selected from the DETECT data base) and non- screenees (selected from Primary Health Care Center (PHCC) intake/medical records. Additionally, a case (mammography users)/control (mammography non-users) study will be performed utilizing records from PHCCs and from the University of Miami, Jackson Memorial Medical Center (UM/JMMC). An additional unique feature of this study is the opportunity to do two case control analyses by comparing EDP cases to UM/JMMC controls: 1) a comparison of stage distribution and, 2) a cost-benefits analysis utilizing cost and charge data.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
1R01CA061252-01A1
Application #
2101980
Study Section
Special Emphasis Panel (HSDG)
Project Start
1994-08-23
Project End
1998-05-31
Budget Start
1994-08-23
Budget End
1995-05-31
Support Year
1
Fiscal Year
1994
Total Cost
Indirect Cost
Name
University of Miami School of Medicine
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
City
Miami
State
FL
Country
United States
Zip Code
33146
McCoy, Clyde B; Pereyra, Margaret; Metsch, Lisa R et al. (2004) A community-based breast cancer screening program for medically underserved women: its effect on disease stage at diagnosis and on hazard of death. Rev Panam Salud Publica 15:160-7
Brown, D W; French, M T; Schweitzer, M E et al. (1999) Economic evaluation of breast cancer screening: A review. Cancer Pract 7:28-33
Metsch, L R; McCoy, C B; McCoy, H V et al. (1998) The role of the physician as an information source on mammography. Cancer Pract 6:229-36
Schweitzer, M E; French, M T; Ullmann, S G et al. (1998) Cost-effectiveness of detecting breast cancer in lower socioeconomic status African American and Hispanic women through mobile mammography services. Med Care Res Rev 55:99-115