Breast Cancer Female
Conditions
Keywords
Contrast enhanced mammography (CEM), Breast MRI, Financial costs, Time costs, State-trait anxiety inventory (STAI)
Brief summary
The investigators will study the financial, time, and psychologic benefit of Contrast Enhanced Mammography (CEM) compared with Magnetic Resonance Imaging (MRI) for breast cancer evaluation and ultimately encourage practices and referring providers to use it more routinely in practice. Specific research objectives are to: * determine financial costs of performing a CEM to breast MRI * compare time costs involved with CEM to breast MRI * compare psychologic costs involved with CEM to breast MRI.
Interventions
The State-Trait Anxiety Inventory (STAI) has 20 items for assessing trait anxiety and 20 for state anxiety.
Sponsors
Breast Cancer Alliance
Boston Medical Center
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
30 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age \> or equal to 30 years * Clinically eligible for CEM or breast MRI * Newly diagnosed cancer
Exclusion criteria
* Pregnant as verified by patient report. Given that this test is being performed for clinical purposes, the determination of pregnancy status will be resolved via the standard clinical pathway.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Institutional financial costs | 24 months | True institutional costs will be calculated using time-driven activity based costing (TDABC) methodology to estimate the capacity cost rate (CCR, defined as cost per unit time in dollars per minute for personnel, equipment, and fixed equipment) and total cost (TC, defined as the sum of CCR per resource multiplied by time utilization and added to cost of consumable materials) for MRI and CEM. |
| Patient financial costs | 24 months | Patient costs will be determined by capturing insurance coverage and hospital-provided patient charges. |
| Time from diagnosis to imaging modality (CEM or MRI) | 24 months | Time will be measured in days and abstracted from medical records. |
| Time from diagnosis to first treatment | 24 months | Time will be measured in days and abstracted from medical records. |
| Number of patient visits generated from the imaging modality | 24 months | Number of patient visits generated from the imaging modality will be abstracted from medical records. |
| Psychologic costs to patients | 24 months | The State-Trait Anxiety Inventory (STAI) has 20 items for assessing trait anxiety and 20 for state anxiety. All items are rated on a 4-point scale (e.g., from Almost Never to Almost Always). Higher scores indicate greater anxiety. |
Outcome results
None listed