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Impact of Access to Breast Care For West Texas Program on Early Detection and Regional Breast Cancer Mortality
INTRODUCTION: This study aimed to assess whether the Access to Breast Care for West Texas (ABC4WT) program impacted regional breast cancer detection and mortality in the Texas Council of Governments (COG)1 region. METHODS: Interrupted time series analyses were utilized to evaluate the impact of the...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10176556/ https://www.ncbi.nlm.nih.gov/pubmed/37158405 http://dx.doi.org/10.1177/10732748231167254 |
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author | Dhanasekara, Chathurika S Khan, Hafiz Rahman, Rakhshanda L |
author_facet | Dhanasekara, Chathurika S Khan, Hafiz Rahman, Rakhshanda L |
author_sort | Dhanasekara, Chathurika S |
collection | PubMed |
description | INTRODUCTION: This study aimed to assess whether the Access to Breast Care for West Texas (ABC4WT) program impacted regional breast cancer detection and mortality in the Texas Council of Governments (COG)1 region. METHODS: Interrupted time series analyses were utilized to evaluate the impact of the intervention. Spearman’s rank correlation and cross-orrelation analyses were performed to assess the relationship between the total number of screenings and (i) the total number of breast cancer detected and (ii) the proportion of early-stage cancer detected and the (pre-whitened) residuals. A three-way interaction model compared pre-and post-intervention mortality in COG 1 with the COG 9 region (control). RESULTS: Increased screening rate was associated with increased breast and early-stage cancer incidences (P = .001 and P = .002, respectively). There were significant positive cross-correlations between the total number of screenings and the total number of breast cancer detected (r = .996) and the proportion of early-stage cancer detected (r = .709) without a lag even after pre-whitening. Univariate analysis showed that regional mortality decreased with time (P < .001) and after intervention (P = .001). Multivariate analysis did not show any significant difference in time (P = .594), intervention (P = .453), and time and intervention interaction (P = .273). The three-way interaction model showed no difference in the baseline mortality and pre-intervention trend difference in COG 1 and COG 9 regions. However, there was a significant pre-post intervention trend difference in mortality COG 1 compared to the COG 9 region (P = .041). CONCLUSION: Implementing the ABC4WT program was associated with the early detection of breast cancer and reducing regional mortality in the COG 1 region. |
format | Online Article Text |
id | pubmed-10176556 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-101765562023-05-13 Impact of Access to Breast Care For West Texas Program on Early Detection and Regional Breast Cancer Mortality Dhanasekara, Chathurika S Khan, Hafiz Rahman, Rakhshanda L Cancer Control Original Research Article INTRODUCTION: This study aimed to assess whether the Access to Breast Care for West Texas (ABC4WT) program impacted regional breast cancer detection and mortality in the Texas Council of Governments (COG)1 region. METHODS: Interrupted time series analyses were utilized to evaluate the impact of the intervention. Spearman’s rank correlation and cross-orrelation analyses were performed to assess the relationship between the total number of screenings and (i) the total number of breast cancer detected and (ii) the proportion of early-stage cancer detected and the (pre-whitened) residuals. A three-way interaction model compared pre-and post-intervention mortality in COG 1 with the COG 9 region (control). RESULTS: Increased screening rate was associated with increased breast and early-stage cancer incidences (P = .001 and P = .002, respectively). There were significant positive cross-correlations between the total number of screenings and the total number of breast cancer detected (r = .996) and the proportion of early-stage cancer detected (r = .709) without a lag even after pre-whitening. Univariate analysis showed that regional mortality decreased with time (P < .001) and after intervention (P = .001). Multivariate analysis did not show any significant difference in time (P = .594), intervention (P = .453), and time and intervention interaction (P = .273). The three-way interaction model showed no difference in the baseline mortality and pre-intervention trend difference in COG 1 and COG 9 regions. However, there was a significant pre-post intervention trend difference in mortality COG 1 compared to the COG 9 region (P = .041). CONCLUSION: Implementing the ABC4WT program was associated with the early detection of breast cancer and reducing regional mortality in the COG 1 region. SAGE Publications 2023-05-09 /pmc/articles/PMC10176556/ /pubmed/37158405 http://dx.doi.org/10.1177/10732748231167254 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Article Dhanasekara, Chathurika S Khan, Hafiz Rahman, Rakhshanda L Impact of Access to Breast Care For West Texas Program on Early Detection and Regional Breast Cancer Mortality |
title | Impact of Access to Breast Care For West Texas Program on Early
Detection and Regional Breast Cancer Mortality |
title_full | Impact of Access to Breast Care For West Texas Program on Early
Detection and Regional Breast Cancer Mortality |
title_fullStr | Impact of Access to Breast Care For West Texas Program on Early
Detection and Regional Breast Cancer Mortality |
title_full_unstemmed | Impact of Access to Breast Care For West Texas Program on Early
Detection and Regional Breast Cancer Mortality |
title_short | Impact of Access to Breast Care For West Texas Program on Early
Detection and Regional Breast Cancer Mortality |
title_sort | impact of access to breast care for west texas program on early
detection and regional breast cancer mortality |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10176556/ https://www.ncbi.nlm.nih.gov/pubmed/37158405 http://dx.doi.org/10.1177/10732748231167254 |
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