Patient Financial Responsibility Reduces Use of Digital Breast Tomosynthesis Screening Mammography

Sedgwick, Emily L.; Benveniste, Ana Paula; Severs, Frederick J.; Ebuoma, Lilian O.; Ortiz-Perez, Tamara; Roark, Ashley; Sam, Kenny Q.; Jonna, Arti R.; Sepulveda, Karla A.

doi:10.1016/j.jacr.2017.06.016

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…Finally, the BCSC does not have complete ascertainment of insurance status, preventing us from examining this as an exposure. The DBT screening examination, although covered by Medicare as of 2015, is likely associated with additional out-of-pocket costs for some patients . To address this limitation, we used US Census–based geocoded income quartiles as a surrogate for potential financial barriers.…”

Section: Discussionmentioning

confidence: 99%

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Comparative Access to and Use of Digital Breast Tomosynthesis Screening by Women’s Race/Ethnicity and Socioeconomic Status

et al. 2021

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Key Points Question Do access to and use of digital breast tomosynthesis (DBT) screening differ based on women’s sociodemographic characteristics? Findings In this cross-sectional study involving 2 313 118 screening examinations performed at 92 Breast Cancer Surveillance Consortium facilities from 2011 to 2017, women of minority race/ethnicity, lower educational attainment, and lower income were less likely to attend a facility offering screening DBT and to obtain DBT rather than digital mammography when both modalities were available at the time of imaging. Meaning These findings suggest that women of minority race/ethnicity and lower socioeconomic status experience lower DBT screening access and/or use, especially during the early technology adoption period, suggesting potential widening in persistent breast cancer screening disparities.

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Section: Discussionmentioning

confidence: 99%

“…The DBT screening examination, although covered by Medicare as of 2015, is likely associated with additional out-of-pocket costs for some patients. 28,33 To address this limitation, we used US Census-based geocoded income quartiles as a surrogate for potential financial barriers.…”

Section: Strengths and Limitationsmentioning

confidence: 99%