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Cancer

Cover image for Vol. 120 Issue S16

Supplement: National Breast and Cervical Cancer Early Detection Program: Two Decades of Service to Underserved Women

August 15, 2014

Volume 120, Issue S16

Pages i–vii, 2537–2624

  1. Issue Information

    1. Top of page
    2. Issue Information
    3. Original Articles
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      Issue information (pages i–vii)

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28931

  2. Original Articles

    1. Top of page
    2. Issue Information
    3. Original Articles
    1. You have free access to this content
      Public health national approach to reducing breast and cervical cancer disparities (pages 2537–2539)

      Jacqueline W. Miller, Marcus Plescia and Donatus U. Ekwueme

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28818

      The National Breast and Cervical Cancer Early Detection Program is the only nationally organized cancer screening program for underserved women in the United States. Its public health goal is to ensure access to high-quality screening, follow-up, and treatment services for diverse and vulnerable populations that, in turn, may reduce disparities.

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      Implementation of the National Breast and Cervical Cancer Early Detection Program: The beginning (pages 2540–2548)

      Nancy C. Lee, Faye L. Wong, Patricia M. Jamison, Sandra F. Jones, Louise Galaska, Kevin T. Brady, Barbara Wethers and George-Ann Stokes-Townsend

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28820

      The Breast and Cervical Cancer Mortality Prevention Act of 1990 authorized the Centers for Disease Control and Prevention to establish the National Breast and Cervical Cancer Early Detection Program to provide quality breast and cervical cancer screening and diagnostic services to low-income, uninsured women. The program began in 1991 and has grown to be the only nationwide cancer screening program serving all 50 states, the District of Columbia, 5 US territories, and 11 tribes or tribal organizations.

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      From cancer screening to treatment: Service delivery and referral in the National Breast and Cervical Cancer Early Detection Program (pages 2549–2556)

      Jacqueline W. Miller, Vivien Hanson, Gale D. Johnson, Janet E. Royalty and Lisa C. Richardson

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28823

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      From 1991 to 2011, the National Breast and Cervical Cancer Early Detection Program has provided screening and diagnostic services to more than 4.3 million women, diagnosing 56,662 breast cancers, 3206 cervical cancers, and 152,470 precancerous cervical lesions. More than 90% of women with abnormal screening results or cancer receive appropriate and timely follow-up care.

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      Strengthening breast and cervical cancer control through partnerships: American Indian and Alaska Native Women and the National Breast and Cervical Cancer Early Detection Program (pages 2557–2565)

      David Espey, Georgina Castro, T'Ronda Flagg, Kate Landis, Jeffrey A. Henderson, Vicki B. Benard and Janet E. Royalty

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28824

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      The NBCCEDP has made important contributions to breast and cervical cancer screening for AI/AN women and strengthened local tribal screening capacity. Results include improved access to breast and cervical cancer screening services; innovative partnerships with the Indian Health Service, state programs, and other organizations; and improved tribal public health infrastructure.

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      When performance management works: A study of the National Breast and Cervical Cancer Early Detection Program (pages 2566–2574)

      Amy DeGroff, Janet E. Royalty, Will Howe, Dennis W. Buckman, James Gardner, Theodore Poister and Nikki Hayes

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28817

      Quantitative results support the effectiveness of performance management in improving program service delivery for the National Breast and Cervical Cancer Early Detection Program. Several factors help to explain the system's effectiveness, including characteristics of the NBCCEDP program, qualities of the indicators, financial investment in the system, and a culture of data use.

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      Using data to effectively manage a national screening program (pages 2575–2583)

      Brandie Yancy, Janet E. Royalty, Steve Marroulis, Cindy Mattingly, Vicki B. Benard and Amy DeGroff

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28821

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      The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) is implemented through cooperative agreements with state health departments, US territories, and tribal health organizations (grantees) by the Centers for Disease Control and Prevention (CDC), which, as a component of the program, requires NBCCEDP grantees to collect patient and clinical data known as the Minimum Data Elements on women served through the program. The NBCCEDP data-collection processes and data management system are described, and the authors discuss how data are used for 1) program monitoring and improvement, 2) evaluation and research, and 3) policy development and analysis.

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      Quality assurance through quality improvement and professional development in the National Breast and Cervical Cancer Early Detection Program (pages 2584–2590)

      Elvira J. Siegl, Jacqueline W. Miller, Kris Khan and Susan E. Harris

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28822

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      Using quality assurance to monitor cancer screening and diagnostic services among grantees in the National Breast and Cervical Cancer Early Detection Program has improved the quality of patient screening, diagnostic services, and follow-up. This paper describes 1) the development and use of quality indicators and 2) professional development activities to improve clinical outcomes.

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      Public education and targeted outreach to underserved women through the National Breast and Cervical Cancer Early Detection Program (pages 2591–2596)

      Whitney Levano, Jacqueline W. Miller, Banning Leonard, Linda Bellick, Barbara E. Crane, Stephenie K. Kennedy, Natalie M. Haslage, Whitney Hammond and Felicia S. Tharpe

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28819

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      Public education and targeted outreach activities are important interventions to help raise awareness and address barriers to care in community-based programs. This article discusses examples of interventions offered through the National Breast and Cervical Cancer Early Detection Program, highlighting successes and challenges with potential solutions.

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      National Breast and Cervical Cancer Early Detection Program data validation project (pages 2597–2603)

      Christie R. Eheman, Steven Leadbetter, Vicki B. Benard, A. Blythe Ryerson, Janet E. Royalty, Donald Blackman, Lori A. Pollack, Paula Willey Adams and Fran Babcock

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28825

      To evaluate the quality of data from the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), the US Centers for Disease Control and Prevention abstracted data from the randomly selected medical records of 6 NBCCEDP-funded state programs. The data-quality assessments determined that, with few exceptions, the NBCCEDP data reported to the Centers for Disease Control and Prevention were valid and consistent with the sociodemographic and clinical data of the program medical records.

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      Cost of services provided by the National Breast and Cervical Cancer Early Detection Program (pages 2604–2611)

      Donatus U. Ekwueme, Sujha Subramanian, Justin G. Trogdon, Jacqueline W. Miller, Janet E. Royalty, Chunyu Li, Gery P. Guy, Wesley Crouse, Hope Thompson and James G. Gardner

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28816

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      This study updates and extends previously published estimates of the costs of providing cancer screening and diagnostic services through the National Breast and Cervical Cancer Early Detection Program. Policy makers may find these cost estimates useful in estimating the costs of potential future changes to the program.

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      National Breast and Cervical Cancer Early Detection Program partnerships in action (pages 2612–2616)

      Latasha D. Sanders, Teri L. Larkins, John N. Boyle, Susan F. George, Erin W. Triplett and Melissa D. Leypoldt

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28827

      National and local partnerships are playing significant roles in working with the Centers for Disease Control and Prevention's National Breast and Cervical Cancer Early Detection Program to provide breast and cervical cancer screening, diagnostic, and treatment services to uninsured and underinsured women across the United States.

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      The National Breast and Cervical Cancer Early Detection Program: Toward a system of cancer screening in the United States (pages 2617–2619)

      Robert A. Smith and Otis W. Brawley

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28828

      In the mid-1980s when there was a shift in public health priorities toward the prevention and control of chronic disease, the Centers for Disease Control and Prevention (CDC) developed a screening program based on the core elements of surveillance, public and provider education, quality assurance, and national and local collaborations. With the Affordable Care Act providing coverage for millions of individuals, the CDC now has an opportunity to focus on recommended cancer screenings through an organized approach versus an opportunistic approach.

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      The National Breast and Cervical Cancer Early Detection Program in the era of health reform: A vision forward (pages 2620–2624)

      Marcus Plescia, Faye Wong, Jennifer Pieters and Djenaba Joseph

      Article first published online: 5 AUG 2014 | DOI: 10.1002/cncr.28826

      With 22 years of experience in effectively leading and managing a national organized breast and cervical cancer screening program, the NBCCEDP is ideally suited to collaborate with health care systems, payers, and purchasers to support the use of appropriate and high-quality breast and cervical cancer screening through expansion of organized approaches to screening that will improve population-level screening.

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