The use of preventive health services among elderly uterine cancer survivors.
OBJECTIVE
The purpose of the study was to determine whether women who survived uterine cancer received 4 recommended preventive services (mammography, colorectal cancer screening, influenza immunization, and bone density testing) at the same rates as women with no history of cancer.


METHODS
We used the Surveillance, Epidemiology, and End Results-Medicare database to compare the rates among survivors aged 67 years or older with a matched group of women with no history of cancer.


RESULTS
Survivors were significantly more likely to have a mammogram (adjusted odds ratio [OR], 1.40; 95% confidence interval [CI], 1.30-1.50) or a colorectal cancer screening examination (adjusted OR, 1.11; 95% CI, 1.05-1.18). Influenza immunization and bone density testing rates were similar. The 28% of survivors seen by an obstetrician-gynecologist or gynecologic oncologist had the highest rates of use.


CONCLUSIONS
Efforts need to be made to increase the use of services by all women to achieve the target rates established by Healthy People 2010.
McBean
A Marshall
AM
Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA. mcbea002@umn.edu
Yu
Xinhua
X
Virnig
Beth A
BA
D015502:Absorptiometry, Photon / Q000706:statistics & numerical data; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D003113:Colonoscopy / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage; D008327:Mammography / Q000706:statistics & numerical data; D008403:Mass Screening / Q000706:statistics & numerical data; D015999:Multivariate Analysis; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control*; D011314:Preventive Health Services / Q000379:methods / Q000706:statistics & numerical data*; D011336:Probability; D012016:Reference Values; D018570:Risk Assessment; D018426:SEER Program; D017741:Survivors / Q000706:statistics & numerical data*; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000401:mortality* / Q000601:surgery
D007252:Influenza Vaccines