title: Cost-effective management of breast cancer.
abstract: The 5-year survival of cancer of the breast in socioeconomically disadvantaged women is much too low because treatment is given for late stage disease. A screening mammography program at primary-care facilities for medically underserved women has markedly increased in situ and local stage of disease and decreased distant disease. This has produced an estimated 50% decrease in mortality and a significant decrease in treatment costs. Unacceptable delay from positive mammogram to biopsy and pathologic diagnosis remained, so a one-stop breast center was established to perform breast physical examination, screening mammography, biopsy, and pathologic interpretation at one site on one visit for optimal cost-effectiveness.
authors.affiliation: Sylvester Comprehensive Cancer Center, University of Miami School of Medicine, Florida.
authors.forename: J J
authors.initials: JJ
authors.lastname: Zavertnik
authors.forename: C B
authors.initials: CB
authors.lastname: McCoy
authors.forename: D S
authors.initials: DS
authors.lastname: Robinson
authors.forename: N
authors.initials: N
authors.lastname: Love
mesh_terms: D001943:Breast Neoplasms / Q000517:prevention & control*; D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration; D005260:Female; D005431:Florida; D006801:Humans; D008327:Mammography / Q000191:economics; D008403:Mass Screening / Q000191:economics* / Q000458:organization & administration