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Book: Supplement: Cost of cancer registration

Tangka, Florence K. L.

(Cancer epidemiology ; volume 45, supplement 1 (December 2016))

2016

Title variant	Cost of cancer registration
Author's details	guest editors: Florence K.L. Tangka, Sujha Subramanian, Patrick V. Edwards, Mona Saraiya
Series title	Cancer epidemiology ; volume 45, supplement 1 (December 2016)
Collection
Language	English
Size	v, S58 Seiten, Diagramme
Publisher	Elsevier
Publishing place	Amsterdam
Publishing country	Netherlands
Document type	Book
HBZ-ID	HT019252235
Database	Catalogue ZB MED Medicine, Health

In stock of ZB MED Cologne/Königswinter

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Article ; Online: Variation in State-Level Mammography Use, 2012 and 2020.

Howard, David H / Tangka, Florence K L / Miller, Jacqueline / Sabatino, Susan A

Public health reports (Washington, D.C. : 1974)

2023 Volume 139, Issue 1, Page(s) 59–65

Abstract: Objectives: Mammography is a screening tool for early detection of breast cancer. Uptake in screening use in states can be influenced by Medicaid coverage and eligibility policies, public health outreach efforts, and the Centers for Disease Control and ... ...

Abstract	Objectives: Mammography is a screening tool for early detection of breast cancer. Uptake in screening use in states can be influenced by Medicaid coverage and eligibility policies, public health outreach efforts, and the Centers for Disease Control and Prevention-funded National Breast and Cervical Cancer Early Detection Program. We described state-specific mammography use in 2020 and changes as compared with 2012. Methods: We estimated the proportion of women aged ≥40 years who reported receiving a mammogram in the past 2 years, by age group, state, and demographic and socioeconomic characteristics, using 2020 Behavioral Risk Factor Surveillance System data. We also compared 2020 state estimates with 2012 estimates. Results: The proportion of women aged 50-74 years who received a mammogram in the past 2 years was 78.1% (95% CI, 77.4%-78.8%) in 2020. Across measures of socioeconomic status, mammography use was generally lower among women who did not have health insurance (52.0%; 95% CI, 48.3%-55.6%) than among those who did (79.9%; 95% CI, 79.3%-80.6%) and among those who had a usual source of care (49.4%; 95% CI, 46.1%-52.7%) than among those who did not (81.0%; 95% CI, 80.4%-81.7%). Among women aged 50-74 years, mammography use varied across states, from a low of 65.2% (95% CI, 61.4%-69.0%) in Wyoming to a high of 86.1% (95% CI, 83.8%-88.3%) in Massachusetts. Four states had significant increases in mammography use from 2012 to 2020, and 8 states had significant declines. Conclusion: Mammography use varied widely among states. Use of evidence-based interventions tailored to the needs of local populations and communities may help close gaps in the use of mammography.
MeSH term(s)	United States ; Female ; Humans ; Early Detection of Cancer ; Mammography ; Breast Neoplasms/diagnostic imaging ; Insurance, Health ; Medicaid ; Mass Screening
Language	English
Publishing date	2023-03-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	120953-x
ISSN	1468-2877 ; 0033-3549
ISSN (online)	1468-2877
ISSN	0033-3549
DOI	10.1177/00333549231155876
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Article ; Online: Integrated interventions and supporting activities to increase uptake of multiple cancer screenings: conceptual framework, determinants of implementation success, measurement challenges, and research priorities.

Subramanian, Sujha / Tangka, Florence K L / Hoover, Sonja / DeGroff, Amy

Implementation science communications

2022 Volume 3, Issue 1, Page(s) 105

Abstract: Background: Screening for colorectal, breast, and cervical cancer has been shown to reduce mortality; however, not all men and women are screened in the USA. Further, there are disparities in screening uptake by people from racial and ethnic minority ... ...

Abstract	Background: Screening for colorectal, breast, and cervical cancer has been shown to reduce mortality; however, not all men and women are screened in the USA. Further, there are disparities in screening uptake by people from racial and ethnic minority groups, people with low income, people who lack health insurance, and those who lack access to care. The Centers for Disease Control and Prevention funds two programs-the Colorectal Cancer Control Program and the National Breast and Cervical Cancer Early Detection Program-to help increase cancer screenings among groups that have been economically and socially marginalized. The goal of this manuscript is to describe how programs and their partners integrate evidence-based interventions (e.g., patient reminders) and supporting activities (e.g., practice facilitation to optimize electronic medical records) across colorectal, breast, and cervical cancer screenings, and we suggest research areas based on implementation science. Methods: We conducted an exploratory assessment using qualitative and quantitative data to describe implementation of integrated interventions and supporting activities for cancer screening. We conducted 10 site visits and follow-up telephone interviews with health systems and their partners to inform the integration processes. We developed a conceptual model to describe the integration processes and reviewed screening recommendations of the United States Preventive Services Task Force to illustrate challenges in integration. To identify factors important in program implementation, we asked program implementers to rank domains and constructs of the Consolidated Framework for Implementation Research. Results: Health systems integrated interventions for all screenings across single and multiple levels. Although potentially efficient, there were challenges due to differing eligibility of screenings by age, gender, frequency, and location of services. Program implementers ranked complexity, cost, implementation climate, and engagement of appropriate staff in implementation among the most important factors to success. Conclusion: Integrating interventions and supporting activities to increase uptake of cancer screenings could be an effective and efficient approach, but we currently do not have the evidence to recommend widescale adoption. Detailed multilevel measures related to process, screening, and implementation outcomes, and cost are required to evaluate integrated programs. Systematic studies can help to ascertain the benefits of integrating interventions and supporting activities for multiple cancer screenings, and we suggest research areas that might address current gaps in the literature.
Language	English
Publishing date	2022-10-05
Publishing country	England
Document type	Journal Article
ISSN	2662-2211
ISSN (online)	2662-2211
DOI	10.1186/s43058-022-00353-8
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Role of an Implementation Economics Analysis in Providing the Evidence Base for Increasing Colorectal Cancer Screening.

Subramanian, Sujha / Tangka, Florence K L / Hoover, Sonja

Preventing chronic disease

2020 Volume 17, Page(s) E46

Abstract: Purpose and objectives: Since 2005 the Centers for Disease Control and Prevention (CDC) has funded organizations across the United States to promote screening for colorectal cancer (CRC) to detect early CRC or precancerous polyps that can be treated to ... ...

Abstract	Purpose and objectives: Since 2005 the Centers for Disease Control and Prevention (CDC) has funded organizations across the United States to promote screening for colorectal cancer (CRC) to detect early CRC or precancerous polyps that can be treated to avoid disease progression and death. The objective of this study was to describe how findings from economic evaluation approaches of a subset of these awardees and their implementation sites (n = 9) can drive decision making and improve program implementation and diffusion. Intervention approach: We described the framework for the implementation economics evaluation used since 2016 for the Colorectal Cancer Control Program (CRCCP) Learning Collaborative. Evaluation methods: We compared CRC interventions implemented across health systems, changes in screening uptake, and the incremental cost per person of implementing an intervention. We also analyzed data on how implementation costs changed over time for a CRC program that conducted interventions in a series of rounds. Results: Implementation of the interventions, which included provider and patient reminders, provider assessment and feedback, and incentives, resulted in increases in screening uptake ranging from 4.9 to 26.7 percentage points. Across the health systems, the incremental cost per person screened ranged from $18.76 to $144.55. One awardee's costs decreased because of a reduction in intervention development and start-up costs. Implications for public health: Health systems, CRCCP awardees, and CDC can use these findings for quality improvement activities, incorporation of information into trainings and support activities, and future program design.
MeSH term(s)	Centers for Disease Control and Prevention, U.S. ; Colorectal Neoplasms/prevention & control ; Cost-Benefit Analysis ; Early Detection of Cancer/economics ; Early Detection of Cancer/methods ; Humans ; Mass Screening/economics ; Mass Screening/methods ; Program Development/methods ; Quality Improvement ; United States
Language	English
Publishing date	2020-06-25
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	2135684-1
ISSN	1545-1151 ; 1545-1151
ISSN (online)	1545-1151
ISSN	1545-1151
DOI	10.5888/pcd17.190407
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Integrated approaches to delivering cancer screenings to address disparities: lessons learned from the evaluation of CDC's Colorectal Cancer Control Program.

Subramanian, Sujha / Tangka, Florence K L / DeGroff, Amy / Richardson, Lisa C

Implementation science communications

2022 Volume 3, Issue 1, Page(s) 110

Abstract: Background: The Centers for Disease Control and Prevention launched the Colorectal Cancer Control Program to increase colorectal cancer screening among groups with low screening uptake. This engagement has enabled the health systems participating in the ...

Abstract	Background: The Centers for Disease Control and Prevention launched the Colorectal Cancer Control Program to increase colorectal cancer screening among groups with low screening uptake. This engagement has enabled the health systems participating in the program to enhance infrastructure, systems, and process to implement interventions for colorectal cancer screening. These improvements have enabled other health promotion innovations such as the delivery of integrated interventions and supporting activities (referred to as integrated approaches) for multiple cancers. Using implementation science frameworks, the program evaluation team has examined these integrated approaches to capture the experiences of the awardees, health systems, and clinics. Methods and results: The findings from this comprehensive evaluation are presented in a series of 3 manuscripts. The first manuscript provides a conceptual framework for integrated approaches for cancer screening to support comprehensive evaluations and offers recommendations for future research. The second manuscript presents findings on key factors that support readiness for implementing integrated approaches based on qualitative interviews guided by implementation science constructs. The final manuscript reports on the challenges and benefits of integrated approaches to increase cancer screening in primary care facilities based on lessons learned from three real-world implementation case studies. Conclusion: Integrated models for implementing cancer screening could offer cost-effective approaches to reduce healthcare disparities. Additional implementation science-based systematic evaluations are needed to ensure integrated approaches are optimized, and cost-efficient models are scaled up.
Language	English
Publishing date	2022-10-11
Publishing country	England
Document type	Journal Article
ISSN	2662-2211
ISSN (online)	2662-2211
DOI	10.1186/s43058-022-00346-7
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Importance of implementation economics for program planning-evaluation of CDC's colorectal cancer control program.

Tangka, Florence K L / Subramanian, Sujha

Evaluation and program planning

2016 Volume 62, Page(s) 64–66

MeSH term(s)	Centers for Disease Control and Prevention (U.S.)/economics ; Centers for Disease Control and Prevention (U.S.)/organization & administration ; Colorectal Neoplasms/prevention & control ; Costs and Cost Analysis ; Early Detection of Cancer/economics ; Humans ; Medically Uninsured ; Program Evaluation ; United States
Language	English
Publishing date	2016-11-24
Publishing country	England
Document type	Editorial ; Introductory Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	2013444-7
ISSN	1873-7870 ; 0149-7189
ISSN (online)	1873-7870
ISSN	0149-7189
DOI	10.1016/j.evalprogplan.2016.11.007
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Article: Late-Stage Diagnosis and Cost of Colorectal Cancer Treatment in Two State Medicaid Programs.

Hoover, Sonja / Subramanian, Sujha / Sabatino, Susan A / Khushalani, Jaya S / Tangka, Florence K L

Journal of registry management

2021 Volume 48, Issue 1, Page(s) 20–27

Abstract: Introduction: To assess timing of Medicaid enrollment with late-stage colorectal cancer (CRC) diagnosis and estimate treatment costs by stage at diagnosis.: Methods: We analyzed 2000-2009 California and Texas Medicaid data linked with cancer registry ...

Abstract	Introduction: To assess timing of Medicaid enrollment with late-stage colorectal cancer (CRC) diagnosis and estimate treatment costs by stage at diagnosis. Methods: We analyzed 2000-2009 California and Texas Medicaid data linked with cancer registry data. We assessed the association of Medicaid enrollment timing with late-stage colorectal cancer and estimated total and incremental 6-month treatment costs to Medicaid by stage using a noncancer comparison group matched on age group and sex. Results: Compared with Medicaid enrollment before diagnosis, enrolling after diagnosis was associated with late-stage diagnosis. Incremental per-person treatment costs were $31,063, $39,834, and $47,161 for localized, regional, and distant stage in California, respectively; and $28,701, $38,212, and $49,634 in Texas, respectively. Discussion: In California and Texas, Medicaid enrollment after CRC diagnosis was associated with later-stage disease and higher treatment costs. Facilitating timely and continuous Medicaid enrollment may lead to earlier stage at diagnosis, reduced costs, and improved outcomes.
MeSH term(s)	Colorectal Neoplasms/pathology ; Humans ; Medicaid ; Neoplasm Staging ; Registries ; United States
Language	English
Publishing date	2021-06-24
Publishing country	United States
Document type	Journal Article
ISSN	1945-6123
ISSN	1945-6123
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Operational Characteristics of Central Cancer Registries that Support the Generation of High-Quality Surveillance Data.

Edwards, Patrick / Bernacet, Amarilys / Tangka, Florence K L / Pordell, Paran / Beizer, Jenny / Wilson, Reda / Blumenthal, Wendy / Jones, Sandra F / Cole-Beebe, Maggie / Subramanian, Sujha

Journal of registry management

2023 Volume 49, Issue 1, Page(s) 10–16

Abstract: Objectives: We aim to assess external and internal attributes and operations of the Centers for Disease Control and Prevention (CDC)'s National Program of Cancer Registries (NPCR) central cancer registries by their consistency in meeting national data ... ...

Abstract	Objectives: We aim to assess external and internal attributes and operations of the Centers for Disease Control and Prevention (CDC)'s National Program of Cancer Registries (NPCR) central cancer registries by their consistency in meeting national data quality standards. Methods: The NPCR 2017 Program Evaluation Instrument (PEI) data were used to assess registry operational attributes, including adoption of electronic reporting, compliance with reporting, staffing, and software used among 46 NPCR registries. These factors were stratified by (1) registries that met the NPCR 12-month standards for all years 2014-2017; (2) registries that met the NPCR 12-month standards at least once in 2014-2017 and met the NPCR 24-month standards for all years 2014-2017; and (3) registries that did not meet the NPCR 24-month standards for all years 2014-2017. Statistical tests helped identify significant differences among registries that consistently, sometimes, or seldom/never achieved data standards. Results: Registries that always met the standards had a higher level of electronic reporting and a higher compliance with reporting among hospitals than registries that sometimes or seldom/never met the standards. Although not a statistically significant finding, the same registries also had a higher proportion of staffing positions filled, a higher proportion of certified tumor registrars, and more quality assurance and information technology staff. Conclusions: This information may be used to understand the importance of various factors and characteristics, including the adoption of electronic reporting, that may be associated with a registry's ability to consistently meet NPCR standards. The findings may be helpful in identifying best practices for processing high-quality cancer data.
MeSH term(s)	United States/epidemiology ; Humans ; Data Accuracy ; Registries ; Neoplasms/epidemiology ; Centers for Disease Control and Prevention, U.S. ; National Program of Cancer Registries
Language	English
Publishing date	2023-01-11
Publishing country	United States
Document type	Journal Article
ISSN	1945-6123
ISSN	1945-6123
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Consensus-based framework for evaluating data modernization initiatives: the case of cancer registration and electronic reporting.

Subramanian, Sujha / Tangka, Florence K L / Pordell, Paran / Beizer, Jenny / Wilson, Reda / Jones, Sandra F / Rogers, Joseph D / Benard, Vicki B / Richardson, Lisa C

JAMIA open

2023 Volume 6, Issue 3, Page(s) ooad060

Abstract: As part of its data modernization initiative (DMI), the Centers for Disease Control and Prevention, Division of Cancer Prevention and Control is testing and implementing innovative solutions to improve cancer surveillance data quality and timeliness. We ... ...

Abstract	As part of its data modernization initiative (DMI), the Centers for Disease Control and Prevention, Division of Cancer Prevention and Control is testing and implementing innovative solutions to improve cancer surveillance data quality and timeliness. We describe a consensus-based effort to create a framework to guide the evaluation of cancer surveillance modernization efforts by addressing specific context, processes, and costs related to cancer registration. We drew on prior theories, consulted with experts, and sought feedback from cancer registry staff. We developed the cancer surveillance systems, context, outcomes, and process evaluation (CS-SCOPE) framework to explain the ways in which cancer registry data quality, timeliness, and efficiency are impacted by external and internal contextual factors and interrelated process and content factors. The framework includes implementation measures to understand acceptability of process changes along with outcome measures to assess DMI initiation and ongoing sustainability. The framework's components and structures can be tailored for use in other DMI evaluations.
Language	English
Publishing date	2023-08-23
Publishing country	United States
Document type	Journal Article
ISSN	2574-2531
ISSN (online)	2574-2531
DOI	10.1093/jamiaopen/ooad060
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Geographic Disparities in Late-Stage Breast Cancer Diagnosis Rates and Their Persistence Over Time.

Mobley, Lee R / Tangka, Florence K L / Berkowitz, Zahava / Miller, Jacqueline / Hall, Ingrid J / Wu, Manxia / Sabatino, Susan A

Journal of women's health (2002)

2021 Volume 30, Issue 6, Page(s) 807–815

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	African Americans ; Breast Neoplasms/diagnosis ; Breast Neoplasms/epidemiology ; Female ; Humans ; Mammography ; Rural Population ; United States/epidemiology ; Whites
Language	English
Publishing date	2021-04-29
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	1139774-3
ISSN	1931-843X ; 1059-7115 ; 1540-9996
ISSN (online)	1931-843X
ISSN	1059-7115 ; 1540-9996
DOI	10.1089/jwh.2020.8728
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