title: Participation in transvaginal ovarian cancer screening: compliance, correlation factors, and costs.
abstract: The objective was to identify factors influencing participation in screening for ovarian cancer using transvaginal sonography in the free experimental program at the University of Kentucky over its 6+ year history. Database records for screenings, performed from 1987 to June 1994, were utilized. Computer sorts, 1990 census information as predictors, and stepwise multiple regression analysis were employed. Participation in the model ovarian screening program took 3-4 years to approach > 300 screens/month, with repeat screenings exceeding new subject participation in this time period. A number of participants traveled > 200 miles for screening on both initial and repeat encounters. Analysis of distance to the screening site, median family income, county physician population, and education levels indicated that distance and then education correlated best with participation. Unit screening cost shrank from $45 to under $25 when maximal participation was achieved. Distance and education correlated with participation. Expenses compare favorably with diagnostic procedures for other diseases.
authors.affiliation: Department of Obstetrics and Gynecology, University of Kentucky Medical Center, Lexington 40536, USA.
authors.forename: E J
authors.initials: EJ
authors.lastname: Pavlik
authors.forename: J R
authors.initials: JR
authors.lastname: van Nagell
authors.forename: P D
authors.initials: PD
authors.lastname: DePriest
authors.forename: L
authors.initials: L
authors.lastname: Wheeler
authors.forename: J M
authors.initials: JM
authors.lastname: Tatman
authors.forename: M
authors.initials: M
authors.lastname: Boone
authors.forename: S
authors.initials: S
authors.lastname: Sollars
authors.forename: M K
authors.initials: MK
authors.lastname: Rayens
authors.forename: R K
authors.initials: RK
authors.lastname: Kryscio
mesh_terms: D000328:Adult; D003365:Costs and Cost Analysis; D004522:Educational Status; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007182:Income; D008403:Mass Screening / Q000191:economics; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging* / Q000517:prevention & control*; D010349:Patient Compliance; D012044:Regression Analysis; D012621:Seasons; D018084:Ultrasonography, Interventional / Q000379:methods; D014621:Vagina