Comparing Breast Magnetic Resonance Imaging (MRI) and Contrast-enhanced Mammography (CEM)

Boston Medical Center

Overview

The investigators will study the financial, time, and psychologic benefit of Contrast Enhanced Mammography (CEM) compared with Magnetic Resonance Imaging (MRI) for breast cancer evaluation and ultimately encourage practices and referring providers to use it more routinely in practice. Specific research objectives are to: * determine financial costs of performing a CEM to breast MRI * compare time costs involved with CEM to breast MRI * compare psychologic costs involved with CEM to breast MRI.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Conditions

Breast Cancer Female

Interventions

State-Trait Anxiety Inventory (STAI)OTHER

The State-Trait Anxiety Inventory (STAI) has 20 items for assessing trait anxiety and 20 for state anxiety.

Eligibility

Sex: FEMALEMin age: 30 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age \> or equal to 30 years * Clinically eligible for CEM or breast MRI * Newly diagnosed cancer Exclusion Criteria: * Pregnant as verified by patient report. Given that this test is being performed for clinical purposes, the determination of pregnancy status will be resolved via the standard clinical pathway.

Outcomes

Primary Outcomes

Institutional financial costs

True institutional costs will be calculated using time-driven activity based costing (TDABC) methodology to estimate the capacity cost rate (CCR, defined as cost per unit time in dollars per minute for personnel, equipment, and fixed equipment) and total cost (TC, defined as the sum of CCR per resource multiplied by time utilization and added to cost of consumable materials) for MRI and CEM.

Time frame: 24 months

Patient financial costs

Patient costs will be determined by capturing insurance coverage and hospital-provided patient charges.

Time frame: 24 months

Time from diagnosis to imaging modality (CEM or MRI)

Time will be measured in days and abstracted from medical records.

Time frame: 24 months

Time from diagnosis to first treatment

Time will be measured in days and abstracted from medical records.

Time frame: 24 months

Number of patient visits generated from the imaging modality

Number of patient visits generated from the imaging modality will be abstracted from medical records.

Time frame: 24 months

Psychologic costs to patients

The State-Trait Anxiety Inventory (STAI) has 20 items for assessing trait anxiety and 20 for state anxiety. All items are rated on a 4-point scale (e.g., from "Almost Never" to "Almost Always"). Higher scores indicate greater anxiety.

Time frame: 24 months

Data from ClinicalTrials.gov

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