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:5/26/2017)... ... May 26, 2017 , ... A new analysis of ... the healthiest seniors are located in the Midwest. With the average cost of healthcare ... people are concerned with both the quality and affordability of where they live. An ...
(Date:5/26/2017)... ... ... After raising nearly $30,000 on Kickstarter , about three-times its original ... discounted crowdfunding price on Indiegogo . , “Along with creating an anti-stress gadget ... a fidget toy to the market that was made of superior quality and wouldn’t ...
(Date:5/26/2017)... ... 26, 2017 , ... Dr. Alex Rabinovich, a highly-skilled oral surgeon specializing in ... post on insurance options. If a Bay Area patient has to search for a ... money. Visiting an in-network provider for a second opinion can ensure a patient receives ...
(Date:5/26/2017)... ... May 26, 2017 , ... “Just What Happened in the Garden of Eden”: retells the stories ... Eden” is the creation of published author, Penelope Colt, mother, trader, horse farmer, artist and ... NYC when she was three. At six, they moved to Dayton, Ohio, where Penny ...
(Date:5/24/2017)... ... May 24, 2017 , ... ... Understanind and choosing the most appropriate instruments for research and understanding the basic ... finding. This webinar will focus on innovations in stereo microscopy for brightfield and ...
Breaking Medicine News(10 mins):
(Date:5/4/2017)... and SAN DIEGO , ... and Gynecologists (ACOG) 2017 Annual Clinical and Scientific Meeting— ... self-contained, illuminating medical devices, today announced the launch of ... its OfficeSPEC and ER-SPEC vaginal ... addition of extra-small and extra-large sizes makes OBP Medical,s ...
(Date:5/4/2017)... , May 4, 2017  A new ... thermoplastics and other highly-engineered materials, is being launched ... tubing has been developed in recent years to ... therapies and surgical applications. More expensive materials such ... produce microextrusion tubing due to their ability to ...
(Date:5/3/2017)... Calif. , May 3, 2017 ... of any hospital or healthcare facility. Commonly referred ... room is equipped with diagnostic imaging technology to ... of the heart. In these spaces, a team ... catheterization, balloon angioplasty, percutaneous coronary intervention, congenital heart ...
Breaking Medicine Technology: