Navigation Links
Implementing comparative effectiveness research: Lessons from the mammography screening controversy
Date:6/22/2010

(Garrison, NY) The firestorm that followed the November 2009 release of guidelines that would have reduced use of screening mammograms in women aged 40 to 49 highlights challenges for implementing the findings of comparative effectiveness research (CER), according to a new analysis. Meeting such challenges which may become more common due to increased funding for CER requires better communication to the public and stakeholders about evidence and its connection to health care quality and efficiency.

Michael K. Gusmano, a research scholar at The Hastings Center, and Bradford H. Gray, a senior fellow at the Urban Institute, write in Academy Health Reports that while "the idea of using evidence to improve health care policy decisions enjoys [broad] support," its implementation "can encounter great resistance," especially if it suggests that widely promoted technologies may not be worth the cost.

The authors cite the recent powerful objections to mammography screening recommendations released by the U.S. Preventive Services Task Force (USPSTF) that would reduce would eliminate the use of routine breast cancer screening mammograms in most women ages 40 to 49. These recommendations, based on a detailed review of research, concluded that the harms of the screening outweighed its benefits in this group.

While some groups, such as Breast Cancer Action, the National Women's Health Network, and the National Breast Cancer Coalition, supported the recommendations, their voices were drowned by "an avalanche of negative reactions from professional associations (including the American Cancer Society), patient advocates, and elected officials from both political parties," as well as Health and Human Services Secretary Kathleen Sebelius. Ultimately, the U.S. Senate agreed to an amendment that amounted to requiring the federal government to ignore the 2009 USPSTF recommendations in the newly enacted health reform legislation, and revert to the 2002 recommendations.

Examining the reasons behind the controversy, and what it portends for CER, the authors cite communications troubles in the way that the recommendations which took constituents by surprise were developed and released into a "highly charged political environment," amidst broader societal concerns about government control of health care. They note that CER is "most likely to face challenges when findings call for some degree of `disinvestment' reducing use of an established technology," as did the mammogram guidelines.

"Establishing broader support for the value of health services research, coupled with sustained efforts to communicate more effectively with the public, is crucial as the United States grapples with how best to improve the quality and efficiency of its health system," Gusmano and Gray conclude.


'/>"/>

Contact: Michael Turton
845-424-4040 x242
The Hastings Center
Source:Eurekalert

Related medicine news :

1. New Harris Corporation Program Assists Healthcare Organizations in Implementing CONNECT Solution for NHIN Connectivity
2. Developing a cyberinfrastructure for comparative effectiveness in cancer research
3. Lawrence Berkeley National Laboratory and OpenHelixTM Announce an Updated Free Tutorial Suite for VISTA: Tools for Comparative Genomics
4. SNM receives grant from AHRQ for comparative effectiveness research
5. Comparative-effectiveness study confirms new treatment for diabetic macular edema
6. Journal editors call for standards in comparative effectiveness research
7. New study shows effectiveness of MEND program in prevention and treatment of pediatric obesity
8. APS Healthcare Issues First Award to South Carolina Providers Using Data to Increase Effectiveness of Mental Health Treatment
9. Review Questions Tamiflus Effectiveness
10. GAINs Effectiveness in Reducing Malnutrition Confirmed in its New Annual Report
11. Report suggests similar effectiveness among options for managing low-risk prostate cancer
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/10/2016)... ... 10, 2016 , ... When faced with having to use a toilet away ... to her body, and contamination of children when they use public toilets. This inspired ... that many people face. , The patent-pending SANI-POCKET enables a person to use a ...
(Date:12/9/2016)... (PRWEB) , ... December 09, 2016 , ... ... planning assistance from offices in Pasco and Richland, is initiating a charity drive ... serious injuries resulting from a recent automobile collision. , On October 29th ...
(Date:12/9/2016)... (PRWEB) , ... December 09, 2016 , ... ... miniature, folded, pharmaceutical inserts and outserts. As a means of expanding capabilities ... addition will enable Flottman to individually code professional inserts (PIs) and patient package ...
(Date:12/9/2016)... Heights, NY (PRWEB) , ... December 09, 2016 , ... ... Alcoholism and Drug Dependence, Inc. (NCADD) is recommending the film Whispering Spirits ... states and the District of Columbia as an education tool in the war against ...
(Date:12/9/2016)... ... December 09, 2016 , ... An inventor from Cana, Va., wanted to ... types of amusement park rides. , The patent-pending SAFETY STRAP FOR AMPUTEES improves accessibility. ... and could be set up in a matter of minutes, or even seconds. The ...
Breaking Medicine News(10 mins):
(Date:12/9/2016)... , Dec. 9, 2016  Nevro Corp. (NYSE: ... is providing innovative evidence-based solutions for the treatment of ... BSX ) has filed a lawsuit for patent ... Court for the District of Delaware ... covering technology related to stimulation leads, batteries, and telemetry ...
(Date:12/9/2016)... MSD, a nationally recognized supplier of technology ... site health care facilities, announced today that it has ... Choice"), a privately held national distributor of medical supplies ... health segments. We would like to welcome First Choice ... transaction will deliver significant and immediate value to MSD,s ...
(Date:12/9/2016)... , December 9, 2016 ... ICD, Single-Chamber ICD, Dual-Chamber ICD, Cardiac Resynchronization Therapy ... Wearable Cardioverter Defibrillators The global ... a CAGR of 5.3% from 2016-2020 and CAGR ... to grow at a CAGR of 5.2% from ...
Breaking Medicine Technology: