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Rad Oncology Homepage

Researchers aim to improve flash therapy for X-ray and proton delivery Cutting cancer treatment times while shrinking the technology

Emory University opens first proton therapy center in Georgia 28th PT center in the U.S.

Elekta Unity MR-linac gains FDA 510(k) clearance Simultaneously delivers radiation dose and visualization of tumors

Dr. Hermann Requardt United Imaging Healthcare appoints senior scientific advisor

Patient denied proton therapy dies, family received $25 million in court Points to the need for greater treatment coverage for certain cancer patients

Microbeam radiation therapy could lead to single session treatments Healthy cells tolerate treatment while tumors lose structure

CMS to unveil mandatory payment model for radiation oncology Part of determining approach that saves more and offers greater quality

European report says radiotherapy 'undervalued' and needing 'greater investment' Equipment shortages, lack of investment, training variations

ViewRay to supply UK's GenesisCare with country's first MRIdian systems Providing soft-tissue imaging in real time and better tumor targeting

Accuray showcases software upgrades for CyberKnife and Radixact at ASTRO Allows for 40 percent faster treatment delivery

Is reimbursement part of the issue?

Why are breast cancer survivors foregoing recommended screening?

Lauren Dubinsky , Senior Reporter
The National Comprehensive Cancer Network recommends annual mammograms for breast cancer survivors, but the vast majority of them are not complying with those guidelines — even if they are insured.

Those were the findings of a study recently published in the Journal of the National Comprehensive Cancer Network.

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“More research is needed to investigate reasons that some women don’t undergo annual mammography after breast cancer, but I think that a variety of factors may contribute, including busy lives and competing commitments such as caring for children and/or aging parents, employment, etc.; systems issues like barriers to scheduling at a convenient time and distress associated with screening for recurrence,” Dr. Kathryn Ruddy of Mayo Clinic Cancer Center, told HCB News.

Ruddy and her team followed 27,212 patients for about 2.9 years after they underwent breast cancer surgery — with 4,790 patients remaining in the study cohort for at least 65 months. The data came from the OptumLabs Data Warehouse, which contains claims from privately insured patients and Medicare Advantage enrollees in the U.S.

They found that a year after surgery, 13 percent of the survivors did not receive any type of breast imaging. By the five-year mark, 19 percent of them forewent a mammogram in the past year.

Only 50 percent of the patients who were followed for at least five years received at least one mammogram each of those years.

The study also revealed that African-American breast cancer survivors were even less likely to receive mammograms than white Americans. The researchers predict that limited access to genetic testing is contributing to this disparity.

They noted that more research is needed to determine whether variability in reimbursements for imaging exams impacts the use of surveillance testing.

Ruddy encourages clinicians to ensure that their patients are fully aware of the role annual mammograms play in screening for new breast cancers as well as recurrences. She believes that survivorship care plans should be created and implemented with clear follow-up instructions.

“Survivorship care plans are documents given to patients at the completion of their active cancer therapy that explain recommendations for future care including visit schedule and imaging tests,” she said. “These provide an opportunity to emphasize the importance of annual mammography for breast cancer survivors with residual breast tissue.”

There are also mobile applications and web-based programs under development that aim to help patients adhere to post-treatment screening guidelines.

Rad Oncology Homepage


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