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. 2019 Sep 1;179(9):1292-1295.
doi: 10.1001/jamainternmed.2019.1058.

Adoption of Digital Breast Tomosynthesis in Clinical Practice

Ilana B Richman  1 , Jessica R Hoag  1 , Xiao Xu  2 , Howard P Forman  3   4 , Regina Hooley  3 , Susan H Busch  4 , Cary P Gross  5
Affiliations

Adoption of Digital Breast Tomosynthesis in Clinical Practice

Ilana B Richman et al. JAMA Intern Med. .

Abstract

This study uses administrative claims from an insurance database to examine adoption of digital breast tomosynthesis for cancer screening and describe regional patterns and sociodemographic characteristics associated with its use.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Richman reported receiving grants from the National Institutes of Health/National Center for Advancing Translational Sciences during the conduct of the study and personal fees from the Centers for Medicare and Medicaid outside the submitted work. Dr Hoag reported receiving salary support from ICON plc outside of the conduct of this study. Dr Xu reported receiving research support through Yale University from the Centers for Medicare & Medicaid Services to develop and maintain performance measures. Drs Xu, Busch, and Gross reported receiving grants from the American Cancer Society during the conduct of the study. Dr Hooley reported receiving honoraria as an ad hoc advisory board member for Hologic Inc outside the submitted work. Dr Gross also reported receiving grants from Johnson & Johnson, the National Comprehensive Cancer Network/Pfizer, and 21st Century Oncology and personal fees from Flatiron, Inc, outside the submitted work. No other disclosures were reported.

Figures

Figure.
Figure.. Patterns of Digital Breast Tomosynthesis (DBT) Adoption
A, Digital breast tomosynthesis use for breast cancer screening in a privately insured population by trajectory group. Hospital referral regions (HRRs) were categorized into 6 groups on the basis of similar trends in adoption of DBT identified by group-based trajectory analysis. N indicates the number of HRRs within each trajectory group. B, Digital breast tomosynthesis use by HRRs. Map shading indicates the trajectory of DBT use in each HRR, ordered according to use at the end of 2017; white areas are excluded from HRR boundaries.
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Comment in

References

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