The Colorado Mammography Advocacy Project (CMAP) is a well- established mammography surveillance project that currently captures data on over 50% of all mammograms in the 6-county Denver Metropolitan area in Colorado. Through collaboration with over 30 mammography facilities, the database includes records on nearly 500,000 mammograms in over 350,000 women. The database increases in size by 85,000 mammograms annually. Since 1994, 3662 breast cancers have occurred among women in the database, as revealed by periodic matches with the Colorado Central Cancer Registry. In this renewal period new mammography facilities will join CMAP raising coverage to at least 75% including Kaiser Permanente of Colorado, an HMO that will contribute data on at least 45,000 mammograms annually. Pathology data and other follow-up on abnormal mammograms is planned. With the coming adoption of digital mammography, CMAP has plans to assess the diffusion of this technology and assess its potential impact on screening mammography. Four special projects proposed along with continued development of the CMAP database and participation in the Breast Cancer Screening Consortium. An annual technical quality survey of mammography facilities will continue as our Project 1. This survey is unique in that it is the only continuing survey with detailed documented quality performance of mammography facilities in the United States. Project 2 focuses on high risk women and strategies for informed decision making. Project 3 proposes to systematically examine the explanatory variables associated with ethnic breast cancer differentials. This study will compare Black, Hispanic and White women's experiences through the continuum of breast cancer screening, detection, and care. Project 4 is a commitment to assign preventive medicine residents to the CMAP project as one of their regular rotations in each year of the project. This will provide a continuing source of inquisitive physicians and other students generating opportunities to develop new and useful applications of the CMAP database.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01CA063736-09
Application #
6661297
Study Section
Special Emphasis Panel (ZCA1-SRRB-5 (J1))
Program Officer
Ballard-Barbash, Rachel
Project Start
1994-09-30
Project End
2005-03-31
Budget Start
2003-07-08
Budget End
2004-03-31
Support Year
9
Fiscal Year
2003
Total Cost
$595,099
Indirect Cost
Name
Cooper Institute
Department
Type
DUNS #
066345943
City
Dallas
State
TX
Country
United States
Zip Code
75230
Fenton, Joshua J; Onega, Tracy; Zhu, Weiwei et al. (2016) Validation of a Medicare Claims-based Algorithm for Identifying Breast Cancers Detected at Screening Mammography. Med Care 54:e15-22
van Ravesteyn, Nicolien T; Stout, Natasha K; Schechter, Clyde B et al. (2015) Benefits and harms of mammography screening after age 74 years: model estimates of overdiagnosis. J Natl Cancer Inst 107:
Buist, Diana S M; Anderson, Melissa L; Smith, Robert A et al. (2014) Effect of radiologists' diagnostic work-up volume on interpretive performance. Radiology 273:351-64
Vilaprinyo, Ester; Forné, Carles; Carles, Misericordia et al. (2014) Cost-effectiveness and harm-benefit analyses of risk-based screening strategies for breast cancer. PLoS One 9:e86858
Ponti, Antonio; Lynge, Elsebeth; James, Ted et al. (2014) International variation in management of screen-detected ductal carcinoma in situ of the breast. Eur J Cancer 50:2695-704
O'Donoghue, Cristina; Eklund, Martin; Ozanne, Elissa M et al. (2014) Aggregate cost of mammography screening in the United States: comparison of current practice and advocated guidelines. Ann Intern Med 160:145
Wernli, Karen J; DeMartini, Wendy B; Ichikawa, Laura et al. (2014) Patterns of breast magnetic resonance imaging use in community practice. JAMA Intern Med 174:125-32
Fenton, Joshua J; Zhu, Weiwei; Balch, Steven et al. (2014) Distinguishing screening from diagnostic mammograms using Medicare claims data. Med Care 52:e44-51
Lynge, Elsebeth; Ponti, Antonio; James, Ted et al. (2014) Variation in detection of ductal carcinoma in situ during screening mammography: a survey within the International Cancer Screening Network. Eur J Cancer 50:185-92
Menes, Tehillah S; Rosenberg, Robert; Balch, Steven et al. (2014) Upgrade of high-risk breast lesions detected on mammography in the Breast Cancer Surveillance Consortium. Am J Surg 207:24-31

Showing the most recent 10 out of 142 publications