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Breast Cancer Rehabilitation and Survivorship: Cost, Quality, and Lessons Learned 乳腺癌康复和生存:成本、质量和经验教训
Seminars in breast disease Pub Date : 2008-09-01 Epub Date: 2009-07-11 DOI: 10.1053/j.sembd.2009.04.005
Erin E. Hahn MPH , Patricia A. Ganz MD
{"title":"Breast Cancer Rehabilitation and Survivorship: Cost, Quality, and Lessons Learned","authors":"Erin E. Hahn MPH ,&nbsp;Patricia A. Ganz MD","doi":"10.1053/j.sembd.2009.04.005","DOIUrl":"10.1053/j.sembd.2009.04.005","url":null,"abstract":"<div><p><span><span>There are an estimated 11.1 million cancer survivors in the United States, and cancer is increasingly being seen as a manageable chronic disease. Unfortunately, cancer survivors may experience both physical and psychosocial long-term and late effects of cancer<span> and its treatments that can have a profound effect on both health status and </span></span>quality of life. Specialized cancer </span>survivorship clinics have been started in many cancer centers in response to the needs of the growing number of survivors, but the overall costs and effectiveness associated with providing survivorship-focused care have yet to be evaluated. This paper explores the body of knowledge that contributed to the development of survivorship clinics and examines the potential benefits of these clinics along with a real-world description of a dedicated adult survivorship clinic.</p></div>","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"11 3","pages":"Pages 148-153"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2009.04.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57944243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A New Paradigm for Integrating Translational Research into Comprehensive Breast Care: The Walter Reed Army Medical Center/Windber Research Institute Experience 将转化研究整合到综合乳房护理的新范例:沃尔特里德陆军医学中心/温德研究所的经验
Seminars in breast disease Pub Date : 2008-09-01 Epub Date: 2009-07-11 DOI: 10.1053/j.sembd.2009.04.001
Lee Bronfman RN, MA, CCRP, Craig D. Shriver MD, FACS, COL, MC
{"title":"A New Paradigm for Integrating Translational Research into Comprehensive Breast Care: The Walter Reed Army Medical Center/Windber Research Institute Experience","authors":"Lee Bronfman RN, MA, CCRP,&nbsp;Craig D. Shriver MD, FACS, COL, MC","doi":"10.1053/j.sembd.2009.04.001","DOIUrl":"10.1053/j.sembd.2009.04.001","url":null,"abstract":"<div><p>The Clinical Breast Care Project (CBCP) was established by direction of the U.S. Congress in January 2000. Human biospecimen collection (breast organ site) is a seminal pillar of the CBCP. To date, more than 33,000 total specimens have been collected and stored under a cooperative congressionally sponsored agreement with the Windber Research Institute in Windber, Pennsylvania. The National Cancer Institute sponsored a workshop in June 2008 entitled <em>Economic Considerations for Implementing the NCI Best Practices for Biospecimen Resources</em><span>. The authors were asked to present details from the CBCP experience on the cost of setting up and operating a high-level biorepository<span>. These costs were meticulously gathered with input from our clinical, tissue banking<span>, and medical bioinformatics teams. Set-up and operational costs were then computed for each facet of the operation to calculate the total expense of establishing this biorepository. Development and operating costs for other institutions will vary, but the chronology and costs presented here can serve as a guideline for other organizations, clinicians, and scientists interested in establishing a biorepository for translational research.</span></span></span></p></div>","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"11 3","pages":"Pages 160-163"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2009.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57944199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
It's Not Business As Usual: Planning for a Journey When You Don't Know Where It Will End 这不是像往常一样的生意:当你不知道它将在哪里结束时计划一次旅行
Seminars in breast disease Pub Date : 2008-09-01 Epub Date: 2009-07-11 DOI: 10.1053/j.sembd.2009.04.009
Gerald R. Kolb JD
{"title":"It's Not Business As Usual: Planning for a Journey When You Don't Know Where It Will End","authors":"Gerald R. Kolb JD","doi":"10.1053/j.sembd.2009.04.009","DOIUrl":"10.1053/j.sembd.2009.04.009","url":null,"abstract":"<div><p><span>This paper presents the conditions underlying the current economic crisis and the increasing efforts to reform the U.S. health care system. The Western industrialized nations, other than the United States, provide universal </span>access to health care. And these nations monitor, incentivize, and, in some instances, control use of care and manage the administrative costs attendant with care in a much more effective manner than the U.S. health care system. Although there is no certainty with respect to the final structure that health care reform will take in the United States, organizational efficiency, information, and evidence-based utilization are three areas in which breast centers should prepare for the future.</p></div>","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"11 3","pages":"Pages 164-166"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2009.04.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57944269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient Navigation: Economics of Program Development and Implementation 病人导航:项目开发和实施的经济学
Seminars in breast disease Pub Date : 2008-09-01 Epub Date: 2009-07-11 DOI: 10.1053/j.sembd.2009.04.007
Sandra Finestone PsyD
{"title":"Patient Navigation: Economics of Program Development and Implementation","authors":"Sandra Finestone PsyD","doi":"10.1053/j.sembd.2009.04.007","DOIUrl":"10.1053/j.sembd.2009.04.007","url":null,"abstract":"<div><p><span>In this age of consumer-driven health care<span> and competitive markets, cancer centers must be innovative in their program development and offer personalized services to informed consumers. Many national medical societies and health care organizations have developed cancer service excellence criteria that include supportive care services as being an integral and preferred element of cancer care to support conventional biomedical treatments. Proper planning and thought must be given to a process that will design a navigation program that aligns specific customer requirements and enhances the patient, caregiver, and physician experience. A well-planned process will produce successful program components that eliminate or greatly reduce the need for costly redesigns or reorganization after implementation. The objectives of such a design would be to improve participant's health outcome and </span></span>quality of life<span>, manage side effects, prevent secondary infections and avoid secondary cancers, improve access to care, lower cost, and promote program growth.</span></p></div>","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"11 3","pages":"Pages 154-159"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2009.04.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57944253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breast Imaging on the Frontline: Return on Investment from the Viewpoint of a Values-Driven Radiology Executive 前沿乳腺成像:从价值驱动的放射学主管的角度看投资回报
Seminars in breast disease Pub Date : 2008-09-01 Epub Date: 2009-07-11 DOI: 10.1053/j.sembd.2009.04.006
Joseph A. Gagliardo MBA
{"title":"Breast Imaging on the Frontline: Return on Investment from the Viewpoint of a Values-Driven Radiology Executive","authors":"Joseph A. Gagliardo MBA","doi":"10.1053/j.sembd.2009.04.006","DOIUrl":"10.1053/j.sembd.2009.04.006","url":null,"abstract":"<div><p><span>Market demands, declining reimbursement rates, and the growing influence of patients who are viewed as consumers dictate that mammography departments evolve and become full-service lines to meet the needs of women. This paper highlights the journey of a medical center's quest to engage the community in shaping a comprehensive women's center that was established on the expertise and talents of staff and the insight, wisdom, and gifts of highly informed women in the community. Although innovative technology was the driving force and the organizational vision was to provide the community with the most advanced diagnostic care in the world, the real catalyst for development into the Mission Women's Wellness Center was the dedication and compassion of staff. This commitment was complemented by the valiant efforts of a force of local community women and the legacy of the Sisters of St. Joseph of Orange to provide a healing environment of patient–family-centered care with </span><em>dignity</em>, <em>service</em>, <em>justice</em>, and <em>excellence</em>.</p></div>","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"11 3","pages":"Pages 124-128"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2009.04.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57944247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Independent Consultative Review for Breast Disease: Implications for Quality, Cost, and Outcomes 乳腺疾病独立咨询审查:对质量、成本和结果的影响
Seminars in breast disease Pub Date : 2008-09-01 Epub Date: 2009-07-11 DOI: 10.1053/j.sembd.2009.04.004
Michael D. Lagios MD
{"title":"Independent Consultative Review for Breast Disease: Implications for Quality, Cost, and Outcomes","authors":"Michael D. Lagios MD","doi":"10.1053/j.sembd.2009.04.004","DOIUrl":"10.1053/j.sembd.2009.04.004","url":null,"abstract":"<div><p>A pathology second opinion of breast biopsy<span> material has many proponents, but is still infrequent in actual practice. Discrepancies between an initial and a review diagnosis vary in frequency between the type of review, cursory or comprehensive, and the specific type of lesion being examined. Among patients with microscopic proliferative lesions, the discrepancy rates can exceed 20%. Discrepancies with an initial diagnosis of atypical ductal hyperplasia<span> and their potential impact on treatment costs are explored. The author's recent experience from a consult second opinion practice is reviewed and the types and frequency of discrepancies are discussed.</span></span></p></div>","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"11 3","pages":"Pages 136-139"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2009.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57944238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Magnetic Resonance Spectroscopy in the Diagnosis and Treatment of Breast Cancer 磁共振波谱在乳腺癌诊断和治疗中的应用
Seminars in breast disease Pub Date : 2008-06-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2008.03.004
Michael T. Nelson MD, Lenore I. Everson MD, Michael Garwood PhD, Tim Emory MD, Patrick J. Bolan PhD
{"title":"Magnetic Resonance Spectroscopy in the Diagnosis and Treatment of Breast Cancer","authors":"Michael T. Nelson MD,&nbsp;Lenore I. Everson MD,&nbsp;Michael Garwood PhD,&nbsp;Tim Emory MD,&nbsp;Patrick J. Bolan PhD","doi":"10.1053/j.sembd.2008.03.004","DOIUrl":"10.1053/j.sembd.2008.03.004","url":null,"abstract":"<div><p><span>In vivo proton magnetic resonance spectroscopy (</span><sup>1</sup><span>H MRS) is rapidly becoming useful as a clinical tool for diagnosing and characterizing breast cancers. Alterations of the levels of choline-containing metabolites are associated with malignancy. High-field MR scanners at 1.5 T, 3 T, 4 T, and 7 T have been used to evaluate the role of </span><sup>1</sup><span>H MRS measurements of total choline-containing compounds in patients with breast cancer. This article will review clinical use of MRI/MRS in vivo. Newer developments in high field MR scanning and quantitative MRS may help breast imagers improve sensitivity and specificity in diagnosing and treating breast cancer.</span></p></div>","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"11 2","pages":"Pages 100-105"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2008.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29806144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
2008 Breast MRI Reimbursement Changes and Challenges 2008乳腺MRI报销的变化和挑战
Seminars in breast disease Pub Date : 2008-06-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2008.06.002
Barbara Ossias
{"title":"2008 Breast MRI Reimbursement Changes and Challenges","authors":"Barbara Ossias","doi":"10.1053/j.sembd.2008.06.002","DOIUrl":"10.1053/j.sembd.2008.06.002","url":null,"abstract":"<div><p>This article is an overview of 2008 coding, billing and reimbursement as it relates to breast MRI.</p></div>","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"11 2","pages":"Pages 106-110"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2008.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"106468464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Making Quality Technical Decisions: No Free Lunch in MRI 做出高质量的技术决策:MRI中没有免费的午餐
Seminars in breast disease Pub Date : 2008-06-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2008.03.001
Steven E. Harms MD, FACR , Sally S. Harms MD, JD
{"title":"Making Quality Technical Decisions: No Free Lunch in MRI","authors":"Steven E. Harms MD, FACR ,&nbsp;Sally S. Harms MD, JD","doi":"10.1053/j.sembd.2008.03.001","DOIUrl":"10.1053/j.sembd.2008.03.001","url":null,"abstract":"<div><p>Breast magnetic resonance imaging (MRI) stands out among other MRI applications in its intense need for high resolution, high contrast, and rapid scan time. These technical constraints push MRI technology to the extreme—choices made for a particular protocol may result in advantages and limitations. Decisions and their outcomes are discussed for reconstruction methods, pulse sequences, radiofrequency systems, shimming systems, and dynamic approaches. Technical choices will depend on the manufacturer and principal purpose for the scanner. The appropriate choices will vary if the system is designed for whole body applications or if it is a dedicated breast system. Quality MRI technology will facilitate optimal demonstration of subtle lesions and allow consistent imaging of all patients.</p></div>","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"11 2","pages":"Pages 51-66"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2008.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57943082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
American Society of Breast Disease Policy Statement on The Use of Breast Magnetic Resonance Imaging 美国乳腺疾病协会关于使用乳腺磁共振成像的政策声明
Seminars in breast disease Pub Date : 2008-06-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2008.06.001
American Society of Breast Disease Consensus Committee, Steven Harms MD, Amy Early MD, Therese B. Bevers MD, Armando Giuliano MD, Mehra Golshan MD, Ilona H. Hertz MD, Krystyna D. Kiel MD, Philip B. Kivitz MD, A. Marilyn Leitch MD, Beth A. Overmoyer MD, Hernan I. Vargas MD, Edibaldo Silva MD, PhD, Kalliopi P. Siziopikou MD, PhD, Craig D. Shriver MD, Olufunmilayo Olopade MD
{"title":"American Society of Breast Disease Policy Statement on The Use of Breast Magnetic Resonance Imaging","authors":"American Society of Breast Disease Consensus Committee,&nbsp;Steven Harms MD,&nbsp;Amy Early MD,&nbsp;Therese B. Bevers MD,&nbsp;Armando Giuliano MD,&nbsp;Mehra Golshan MD,&nbsp;Ilona H. Hertz MD,&nbsp;Krystyna D. Kiel MD,&nbsp;Philip B. Kivitz MD,&nbsp;A. Marilyn Leitch MD,&nbsp;Beth A. Overmoyer MD,&nbsp;Hernan I. Vargas MD,&nbsp;Edibaldo Silva MD, PhD,&nbsp;Kalliopi P. Siziopikou MD, PhD,&nbsp;Craig D. Shriver MD,&nbsp;Olufunmilayo Olopade MD","doi":"10.1053/j.sembd.2008.06.001","DOIUrl":"10.1053/j.sembd.2008.06.001","url":null,"abstract":"","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"11 2","pages":"Pages 111-112"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2008.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57944037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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