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Cost‐effective management of breast cancer
Author(s) -
Zavertnik Joseph J.,
McCoy Clyde B.,
Robinson David S.,
Love Neil
Publication year - 1992
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19920401)69:7+<1979::aid-cncr2820691719>3.0.co;2-c
Subject(s) - medicine , mammography , breast cancer , biopsy , stage (stratigraphy) , disease , physical examination , breast examination , cancer , surgery , radiology , paleontology , biology
The 5‐year survival of cancer of the breast in socioeconomically disadvantaged women is much too low because treatment is given for late stage disease. A screening mammography program at primary‐care facilities for medically underserved women has markedly increased in situ and local stage of disease and decreased distant disease. This has produced an estimated 50% decrease in mortality and a significant decrease in treatment costs. Unacceptable delay from positive mammogram to biopsy and pathologic diagnosis remained, so a one‐stop breast center was established to perform breast physical examination, screening mammography, biopsy, and pathologic interpretation at one site on one visit for optimal cost‐effectiveness.