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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention
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Visualizing the diffusion of digital mammography in New York State

Francis P Boscoe and Xiuling Zhang
Francis P Boscoe
1New York State Cancer Registry, New York State Department of Health
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  • For correspondence: francis.boscoe@health.ny.gov
Xiuling Zhang
1New York State Cancer Registry, New York State Department of Health
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DOI: 10.1158/1055-9965.EPI-16-0928
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Abstract

Background: Digital mammography saw rapid adoption during the first decade of the 2000s. We were interested in identifying the times and locations where the technology was introduced within the state of New York as a way of illustrating the uneven introduction of this technology. Methods: Using a sample of Medicare claims data from the period 2004-2012 from women aged 65 and over without cancer, we calculated the percentage of mammograms which were digital by zip code of residence and illustrated these with a series of smoothed maps. Results: Maps for three of the years (2005, 2008, and 2011) show the conversion from almost no digital mammography to nearly all digital mammography. The 2008 map reveals sharp disparities between areas which had and had not yet adopted the technology. Socioeconomic differences explain some of this pattern. Conclusions: Geographic disparities in access to medical technology is underappreciated relative to other sources of disparities. Our method provides a way of measuring and communicating this phenomenon. Impact: Our method could be applied to illuminate current examples where access to medical technology is highly uneven, such as 3-d tomography and robotic surgery.

  • Received November 15, 2016.
  • Revision received January 26, 2017.
  • Accepted January 27, 2017.
  • Copyright ©2017, American Association for Cancer Research.
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This OnlineFirst version was published on February 2, 2017
doi: 10.1158/1055-9965.EPI-16-0928

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Visualizing the diffusion of digital mammography in New York State
Francis P Boscoe and Xiuling Zhang
Cancer Epidemiol Biomarkers Prev February 2 2017 DOI: 10.1158/1055-9965.EPI-16-0928

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Visualizing the diffusion of digital mammography in New York State
Francis P Boscoe and Xiuling Zhang
Cancer Epidemiol Biomarkers Prev February 2 2017 DOI: 10.1158/1055-9965.EPI-16-0928
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Cancer Epidemiology, Biomarkers & Prevention
eISSN: 1538-7755
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