Accession Number : ADA310463

Title :   Cost Effectiveness of Alternative Treatments for Local Breast Cancer in the Elderly.

Descriptive Note : Annual rept. 1 Aug 94-31 Jul 95,

Corporate Author : GEORGETOWN UNIV WASHINGTON DC

Personal Author(s) : Hadley, Jack

PDF Url : ADA310463

Report Date : 26 JAN 1996

Pagination or Media Count : 78

Abstract : The purpose of this project is to conduct cost-effectiveness analyses (CEA) of three treatment alternatives (modified radical mastectomy, breast conserving surgery with radiation therapy, and breast conserving surgery without radiation therapy) for elderly women (67 and older) with early stage breast cancer. Data for the CEA will be obtained from surveys of breast cancer patients at one, two, three, four, and five years post-treatment, their surgeons, and Medicare's National Claims History File. Two survey instruments were developed and tested during Year One: an in-person, baseline interview which will be administered approximately three months post-treatment and a physician survey instrument designed to measure physicians' treatment propensities, actual practice patterns, and various factors' importance in treatment decisions. The final instruments for use in national telephone and mail surveys will be derived from these instruments after preliminary analysis of data being collected by another research project.

Descriptors :   *COST EFFECTIVENESS, *SURGERY, *RADIOTHERAPY, *BREAST CANCER, MEASUREMENT, DECISION MAKING, COST ANALYSIS, BASE LINES, SURVEYS, PATTERNS, INSTRUMENTATION, PATIENTS, HEALTH CARE FACILITIES, TELEPHONE SYSTEMS, PHYSICIANS, POSTAL SERVICE, INTERVIEWING.

Subject Categories : Economics and Cost Analysis
      Medicine and Medical Research
      Radiobiology

Distribution Statement : APPROVED FOR PUBLIC RELEASE