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:3/22/2017)... Valhalla, New York (PRWEB) , ... March 22, ... ... Blythedale Children’s Hospital have entered into a research collaboration to translate advances in ... with neurological impairments at Blythedale and beyond. The collaboration seeks to improve movement, vision, ...
(Date:3/22/2017)... ... March 22, 2017 , ... SNL Insurance ... to families and business owners in the greater Hampton Roads area, is embarking ... Society Relay For Life event. , Each year, hundreds of people living in ...
(Date:3/22/2017)... (PRWEB) , ... March 22, 2017 , ... Schneider Insurance ... families and business owners throughout the Yellowstone Valley region, is launching a charity event ... zoo and botanical garden in all of Montana State, and is home to a ...
(Date:3/22/2017)... (PRWEB) , ... March 22, 2017 , ... College basketball ... Self still makes time for recruiting – that is, recruiting people to be foster ... and homes to children who are in foster care due to abuse, neglect and ...
(Date:3/22/2017)... ... ... NYC Chiropractor Dr. Steven Shoshany recently helped host a seminar at his cutting ... and focused on a new protocol for treating pain. Dr. Shoshany is among the ... furthermore the first seminar in the country was hosted at his Integrated Chiropractic Practice. ...
Breaking Medicine News(10 mins):
(Date:3/22/2017)... , 22. März 2017   ... und weltweit tätige Anbieter von Produkten und ... den Erwerb von EPL Archives Inc. bekannt, ... der Kunden im kompletten Zyklus regulierter Forschung, ... von Proben, Speicherung von Dokumenten und Zusatzdienstleistungen ...
(Date:3/22/2017)... 22, 2017  Applied BioMath ( www.appliedbiomath.com ), ... research and development, today announced the latest line-up ... 2017 is a day full of presentations, posters, ... (QSP) community. The focus is to learn about ... accelerating drug research and development. The ...
(Date:3/22/2017)... March 22, 2017 National Medical Products ... received an Innovative Technology contract from Vizient, ... in the country. The contract was based on ... with expertise in this category who serve on ... Technology contracts for technologies that demonstrate an ability ...
Breaking Medicine Technology: