A5091497538- Global Cancer Incidence and Screening
- Innovations in Medical Education
- AI in cancer detection
- Primary Care and Health Outcomes
- Colorectal Cancer Screening and Detection
- Radiology practices and education
- Digital Radiography and Breast Imaging
- Breast Cancer Treatment Studies
- Breast Lesions and Carcinomas
- Global Health Workforce Issues
- Clinical Reasoning and Diagnostic Skills
- Healthcare Policy and Management
- Diversity and Career in Medicine
- Cancer Risks and Factors
- Cervical Cancer and HPV Research
- Medical Education and Admissions
- Health and Medical Research Impacts
- Interprofessional Education and Collaboration
- Healthcare Systems and Technology
- Healthcare cost, quality, practices
- Health Sciences Research and Education
- Cutaneous Melanoma Detection and Management
- Patient-Provider Communication in Healthcare
- BRCA gene mutations in cancer
- Empathy and Medical Education
Oregon Health & Science University
2016-2025
Oregon Health and Science University Hospital
2023-2025
HealthPartners
2024
VA Portland Health Care System
2024
University of Portland
2023-2024
Portland VA Medical Center
2024
University of California, San Diego
2024
Botswana Harvard AIDS Institute Partnership
2024
Research Network (United States)
2022
ORCID
2020-2022
Background: The relationships among breast density, age, and use of hormone replacement therapy (HRT) in cancer detection have not been fully evaluated. Objective: To determine how HRT individually combination affect the accuracy screening mammography. Design: Prospective cohort study. Setting: 7 population-based mammography registries North Carolina; New Mexico; Hampshire; Vermont; Colorado; Seattle, Washington; San Francisco, California. Participants: 329 495 women 40 to 89 years age who...
A breast pathology diagnosis provides the basis for clinical treatment and management decisions; however, its accuracy is inadequately understood.To quantify magnitude of diagnostic disagreement among pathologists compared with a consensus panel reference to evaluate associated patient pathologist characteristics.Study who interpret biopsies in practices 8 US states.Participants independently interpreted slides between November 2011 May 2014 from test sets 60 (240 total cases, 1 slide per...
With the large number of women having mammography-an estimated 28.4 million U.S. aged 40 years and older in 1998-the percentage cancers detected as ductal carcinoma situ (DCIS), which has an uncertain prognosis, increased. We pooled data from seven regional mammography registries to determine mammographically that are DCIS rate per 1000 mammograms.We analyzed on 653 833 mammograms 540 738 between 84 age who underwent screening at facilities participating National Cancer Institute's Breast...
Computer-aided detection identifies suspicious findings on mammograms to assist radiologists. Since the Food and Drug Administration approved technology in 1998, it has been disseminated into practice, but its effect accuracy of interpretation is unclear.
Risk prediction models for breast cancer can be improved by the addition of recently identified risk factors, including density and use hormone therapy. We used prospective information to predict a diagnosis in cohort 1 million women undergoing screening mammography.There were 2,392,998 eligible mammograms from without previously diagnosed who had prior mammogram preceding 5 years. Within year mammogram, 11,638 with cancer. Separate logistic regression constructed premenopausal...
October 1997Breast Cancer Surveillance Consortium: a national mammography screening and outcomes database.Authors: R Ballard-Barbash, S H Taplin, B C Yankaskas, V L Ernster, D Rosenberg, P A Carney, W E Barlow, … Show All , M Geller, K Kerlikowske, Edwards, F Lynch, N Urban, Chrvala, Key, Poplack, J Worden, G Kessler FewerAuthor Info & AffiliationsVolume 169, Issue 4https://doi.org/10.2214/ajr.169.4.9308451 METRICS PDF
<b>Objective</b> To quantify the accuracy and reproducibility of pathologists' diagnoses melanocytic skin lesions. <b>Design</b> Observer study. <b>Setting</b> 10 US states. <b>Participants</b> Skin biopsy cases (n=240), grouped into sets 36 or 48. Pathologists from 10 states were randomized to independently interpret same set on two occasions (phases 1 2), at least eight months apart. <b>Main outcome measures</b> Pathologists' interpretations condensed five classes:...
Purpose: To retrospectively evaluate the range of performance outcomes radiologist in an audit screening mammography by using a representative sample U.S. radiologists to allow development benchmarks for mammography. Materials and Methods: Institutional review board approval was obtained, study HIPAA compliant. Informed consent or not obtained according institutional guidelines. Data from 188 mammographic facilities 807 between 1996 2002 were analyzed six registries Breast Cancer...
Individualized education is emerging as an innovative model for physician training. This requires faculty coaching to guide learners' achievements in academic performance, competency development, and career progression. In addition, can foster self-reflection self-monitoring using a data-guided approach support lifelong learning.Coaching differs from mentoring or advising, its application medical novel. Because of this, definitions the concept constructs applied are needed accurately assess...
Significance Collective intelligence is considered to be one of the most promising approaches improve decision making. However, up now, little known about conditions underlying emergence collective in real-world contexts. Focusing on two key areas medical diagnostics (breast and skin cancer detection), we here show that similarity doctors’ accuracy a factor these This result paves way for innovative more effective making beyond, scientific analyses those approaches.
BackgroundWhether a change over time in clinically measured mammographic breast density influences cancer risk is unknown.
OBJECTIVE--To test the impact of physician education and facilitator assisted office system interventions on cancer early detection preventive services. DESIGN--A randomised trial two alone in combination. SETTING AND SUBJECTS--Physicians 98 ambulatory care practices United States. INTERVENTIONS--The intervention consisted a day long meeting directed at improving knowledge, attitudes, skills relevant to prevention detection. The assistance from project establishing routines for providing...
To identify radiologists' characteristics associated with interpretive performance in screening mammography.The study was approved by institutional review boards of University Washington (Seattle, Wash) and institutions at seven Breast Cancer Surveillance Consortium sites, informed consent obtained, procedures were HIPAA compliant. Radiologists who interpreted mammograms U.S. regions completed a self-administered mailed survey; information on demographics, practice type, experience...
<b>PURPOSE</b> Public health insurance programs have expanded coverage for the poor, and family physicians provide essential services to these vulnerable populations. Despite efforts, many Americans do not access basic medical care. This study was designed identify barriers faced by low-income parents when accessing care their children how status affects reporting of barriers. <b>METHODS</b> A mixed methods analysis undertaken using 722 responses an open-ended question on a survey instrument...
BackgroundComputer-aided detection (CAD) is applied during screening mammography for millions of US women annually, although it uncertain whether CAD improves breast cancer when used by community radiologists.
Whether a recent large decline in use of postmenopausal hormone therapy after the release Women's Health Initiative findings July 2002 and/or screening mammography is related to recently reported breast cancer incidence United States controversial. We prospectively collected data from four registries January 1997 through December 2003 for 603411 examinations performed on women aged 50–69 years. Of these women, 3238 were diagnosed with within 12 months examination. calculated quarterly rates...
While collective intelligence (CI) is a powerful approach to increase decision accuracy, few attempts have been made unlock its potential in medical decision-making. Here we investigated the performance of three well-known rules ("majority", "quorum", and "weighted quorum") when applied mammography screening. For any particular mammogram, these aggregate independent assessments multiple radiologists into single (recall patient for additional workup or not). We found that, compared...
<h3>Importance</h3> Palliative care is a patient-centered approach associated with improvements in quality of life; however, results regarding its association survival benefit have been mixed, which may be factor underuse. <h3>Objective</h3> To assess whether early palliative among patients advanced lung cancer. <h3>Design, Setting, and Participants</h3> This retrospective population-based cohort study was conducted cancer who were diagnosed between January 1, 2007, December 31, 2013,...
Abstract Background: Self-reported screening behaviors from national surveys often overestimate use, and the amount of overestimation may vary by demographic characteristics. We examine self-report bias in mammography rates overall, age, race/ethnicity. Methods: use registry data (1999-2000) Breast Cancer Surveillance Consortium to estimate validity self-reported collected two surveys. First, we compare 1999 2000 for a geographically defined population (Vermont) with prior years Vermont...
Enhanced patient outcomes and accreditation criteria have led schools to integrate interprofessional education (IPE). While several studies describe IPE curricula at individual institutions, few examine practices across multiple institutions. To the integration different institutions determine gaps where there is potential for improvement. In this mixed methods study, we obtained survey results from 16 U.S. medical schools, 14 of which reported activities. The most common collaboration was...
Background: Medical student wellness, including physical health, emotional and levels of perceived stress, appears to decline during training, with students reporting high depression, anxiety, burnout as early the first year medical school. The impact curricular changes on health stress remains unclear, a modified curriculum that compresses training foundational sciences its effect wellness has not been studied. Oregon Health & Science University School Medicine recently instituted unique...