Jeanne S. Mandelblatt

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BACKGROUND We used modeling techniques to assess the relative and absolute contributions of screening mammography and adjuvant treatment to the reduction in breast-cancer mortality in the United States from 1975 to 2000. METHODS A consortium of investigators developed seven independent statistical models of breast-cancer incidence and mortality. All seven(More)
BACKGROUND Despite trials of mammography and widespread use, optimal screening policy is controversial. OBJECTIVE To evaluate U.S. breast cancer screening strategies. DESIGN 6 models using common data elements. DATA SOURCES National data on age-specific incidence, competing mortality, mammography characteristics, and treatment effects. TARGET(More)
BACKGROUND About 80% of cervical cancers occur in less-developed countries. This disproportionate burden of cervical cancer in such countries is due mainly to the lack of well-organized screening programs. Several cervical cancer screening strategies have been proposed as more cost-effective than cytology screening. We compared the costs and benefits of(More)
CONTEXT Despite quality assurance standards, Papanicolaou (Pap) test characteristics remain less than optimal. OBJECTIVE To compare the societal costs and benefits of human papillomavirus (HPV) testing, Pap testing, and their combination to screen for cervical cancer. DESIGN, SETTING, AND POPULATION A simulation model of neoplasia natural history was(More)
First implemented in 1990, patient navigation interventions are emerging today as an approach to reduce cancer disparities. However, there is lack of consensus about how patient navigation is defined, what patient navigators do, and what their qualifications should be. Little is known about the efficacy and cost-effectiveness of patient navigation. For this(More)
BACKGROUND Barriers to cancer care have been documented in nearly all settings and populations; such barriers represent potentially avoidable morbidity or mortality. A conceptual framework was used to describe patient, provider, and system barriers to cancer services. METHODS A review of the English language literature on cancer care from 1980-1998 was(More)
OBJECTIVE To analyze the costs and benefits of alternative cervical cancer screening schedules among elderly women. SETTING Population-based screening programs. DESIGN A Markov model predicts the outcomes of periodic screening, diagnosis, and treatment for cervical cancer among women from 65 to 109 years of age. PATIENTS A hypothetical cohort of one(More)
OBJECTIVES This study described factors related to colorectal cancer stage at diagnosis. METHODS Logistic regression analyses were used on data from the New York State Tumor Registry and US Census area-level social class indicators. RESULTS After the effects of other predictors were controlled for, the odds of late-stage cancer increased as age(More)
OBJECTIVE The aim of this study was to evaluate the relationships between age, health status, access to care, and breast and cervical cancer screening among multiethnic elderly and nonelderly women. METHODS A structured telephone survey of a quota sample of 1,420 New York City women from four Hispanic groups (Columbian, Dominican, Puerto Rican,(More)
BACKGROUND Tobacco cessation among Latinos is a public health priority in the United States, particularly given the relatively high growth of this population segment. Although a substantial percentage of American Latinos use the Internet, they have not engaged in Web-based cessation programs as readily as other racial/ethnic subgroups. A lack of culturally(More)