{"id":"https://openalex.org/W2146504156","doi":"https://doi.org/10.1287/deca.2013.0272","title":"Optimal Policies for Reducing Unnecessary Follow-Up Mammography Exams in Breast Cancer Diagnosis","display_name":"Optimal Policies for Reducing Unnecessary Follow-Up Mammography Exams in Breast Cancer Diagnosis","publication_year":2013,"publication_date":"2013-06-26","ids":{"openalex":"https://openalex.org/W2146504156","doi":"https://doi.org/10.1287/deca.2013.0272","mag":"2146504156","pmid":"https://pubmed.ncbi.nlm.nih.gov/24501588"},"language":"en","primary_location":{"id":"doi:10.1287/deca.2013.0272","is_oa":false,"landing_page_url":"https://doi.org/10.1287/deca.2013.0272","pdf_url":null,"source":{"id":"https://openalex.org/S33235364","display_name":"Decision Analysis","issn_l":"1545-8490","issn":["1545-8490","1545-8504"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310315699","host_organization_name":"Institute for Operations Research and the Management Sciences","host_organization_lineage":["https://openalex.org/P4310315699"],"host_organization_lineage_names":["Institute for Operations Research and the Management Sciences"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Decision Analysis","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046601895","display_name":"O\u011fuzhan Alag\u00f6z","orcid":"https://orcid.org/0000-0002-5133-1382"},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Oguzhan Alagoz","raw_affiliation_strings":["Department of Industrial and Systems Engineering, University of Wisconsin\u2013Madison, Madison, Wisconsin 53705","Department of Industrial and Systems Engineering, University of Wisconsin--Madison, Madison, Wisconsin 53705#TAB#"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Industrial and Systems Engineering, University of Wisconsin\u2013Madison, Madison, Wisconsin 53705","institution_ids":["https://openalex.org/I135310074"]},{"raw_affiliation_string":"Department of Industrial and Systems Engineering, University of Wisconsin--Madison, Madison, Wisconsin 53705#TAB#","institution_ids":["https://openalex.org/I135310074"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038177258","display_name":"Jagpreet Chhatwal","orcid":"https://orcid.org/0000-0001-8741-4430"},"institutions":[{"id":"https://openalex.org/I170201317","display_name":"University of Pittsburgh","ror":"https://ror.org/01an3r305","country_code":"US","type":"education","lineage":["https://openalex.org/I170201317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jagpreet Chhatwal","raw_affiliation_strings":["Department of Health Policy and Management and Industrial Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania 15261","Department of Health Policy and Management and Industrial Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania 15261#TAB#"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy and Management and Industrial Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania 15261","institution_ids":["https://openalex.org/I170201317"]},{"raw_affiliation_string":"Department of Health Policy and Management and Industrial Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania 15261#TAB#","institution_ids":["https://openalex.org/I170201317"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5084471958","display_name":"Elizabeth S. Burnside","orcid":"https://orcid.org/0000-0002-6600-435X"},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elizabeth S. Burnside","raw_affiliation_strings":["Department of Radiology, University of Wisconsin\u2013Madison, Madison, Wisconsin 53792","Department of Radiology, University of Wisconsin--Madison, Madison, Wisconsin 53792"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, University of Wisconsin\u2013Madison, Madison, Wisconsin 53792","institution_ids":["https://openalex.org/I135310074"]},{"raw_affiliation_string":"Department of Radiology, University of Wisconsin--Madison, Madison, Wisconsin 53792","institution_ids":["https://openalex.org/I135310074"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.7917,"has_fulltext":false,"cited_by_count":40,"citation_normalized_percentile":{"value":0.73935808,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"10","issue":"3","first_page":"200","last_page":"224"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.9997000098228455,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.9997000098228455,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10552","display_name":"Colorectal Cancer Screening and Detection","score":0.9940000176429749,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11361","display_name":"Digital Radiography and Breast Imaging","score":0.984000027179718,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mammography","display_name":"Mammography","score":0.7959462404251099},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.7269101142883301},{"id":"https://openalex.org/keywords/breast-cancer","display_name":"Breast cancer","score":0.6770035028457642},{"id":"https://openalex.org/keywords/medical-physics","display_name":"Medical physics","score":0.493806928396225},{"id":"https://openalex.org/keywords/markov-decision-process","display_name":"Markov decision process","score":0.4700894355773926},{"id":"https://openalex.org/keywords/radiology","display_name":"Radiology","score":0.40937021374702454},{"id":"https://openalex.org/keywords/cancer","display_name":"Cancer","score":0.31363674998283386},{"id":"https://openalex.org/keywords/markov-process","display_name":"Markov process","score":0.1668376326560974},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.08090999722480774}],"concepts":[{"id":"https://openalex.org/C2780472235","wikidata":"https://www.wikidata.org/wiki/Q324634","display_name":"Mammography","level":4,"score":0.7959462404251099},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7269101142883301},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.6770035028457642},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.493806928396225},{"id":"https://openalex.org/C106189395","wikidata":"https://www.wikidata.org/wiki/Q176789","display_name":"Markov decision process","level":3,"score":0.4700894355773926},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.40937021374702454},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.31363674998283386},{"id":"https://openalex.org/C159886148","wikidata":"https://www.wikidata.org/wiki/Q176645","display_name":"Markov process","level":2,"score":0.1668376326560974},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.08090999722480774},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1287/deca.2013.0272","is_oa":false,"landing_page_url":"https://doi.org/10.1287/deca.2013.0272","pdf_url":null,"source":{"id":"https://openalex.org/S33235364","display_name":"Decision Analysis","issn_l":"1545-8490","issn":["1545-8490","1545-8504"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310315699","host_organization_name":"Institute for Operations Research and the Management Sciences","host_organization_lineage":["https://openalex.org/P4310315699"],"host_organization_lineage_names":["Institute for Operations Research and the Management Sciences"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Decision Analysis","raw_type":"journal-article"},{"id":"pmid:24501588","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/24501588","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Decision analysis : a journal of the Institute for Operations Research and the Management Sciences","raw_type":null},{"id":"pmh:oai:RePEc:inm:ordeca:v:10:y:2013:i:3:p:200-224","is_oa":false,"landing_page_url":"http://doi.org/10.1287/deca.2013.0272","pdf_url":null,"source":{"id":"https://openalex.org/S4306401271","display_name":"RePEc: Research Papers in Economics","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I77793887","host_organization_name":"Federal Reserve Bank of St. Louis","host_organization_lineage":["https://openalex.org/I77793887"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"article"},{"id":"pmh:oai:europepmc.org:2897627","is_oa":false,"landing_page_url":"http://europepmc.org/articles/PMC3910299","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:europepmc.org:2897627","is_oa":false,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3910299","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"}],"best_oa_location":null,"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":70,"referenced_works":["https://openalex.org/W1507155876","https://openalex.org/W1595046345","https://openalex.org/W1860760959","https://openalex.org/W1965734230","https://openalex.org/W1965941534","https://openalex.org/W1984718039","https://openalex.org/W1989390357","https://openalex.org/W1997199085","https://openalex.org/W2004982894","https://openalex.org/W2009426114","https://openalex.org/W2028177593","https://openalex.org/W2028344799","https://openalex.org/W2031105320","https://openalex.org/W2044243109","https://openalex.org/W2044804318","https://openalex.org/W2045216597","https://openalex.org/W2048211722","https://openalex.org/W2048701123","https://openalex.org/W2056734074","https://openalex.org/W2058836792","https://openalex.org/W2065960089","https://openalex.org/W2067755424","https://openalex.org/W2076053181","https://openalex.org/W2077787936","https://openalex.org/W2078276635","https://openalex.org/W2086543716","https://openalex.org/W2088455268","https://openalex.org/W2096375263","https://openalex.org/W2098807248","https://openalex.org/W2099117927","https://openalex.org/W2105549361","https://openalex.org/W2110488992","https://openalex.org/W2112782292","https://openalex.org/W2114815920","https://openalex.org/W2115618021","https://openalex.org/W2119567691","https://openalex.org/W2121250775","https://openalex.org/W2124152802","https://openalex.org/W2126804515","https://openalex.org/W2127348410","https://openalex.org/W2130041385","https://openalex.org/W2134350845","https://openalex.org/W2141362238","https://openalex.org/W2142021573","https://openalex.org/W2149982189","https://openalex.org/W2154882854","https://openalex.org/W2156458610","https://openalex.org/W2161849165","https://openalex.org/W2163842499","https://openalex.org/W2163905093","https://openalex.org/W2163966299","https://openalex.org/W2164589486","https://openalex.org/W2165664908","https://openalex.org/W2169644356","https://openalex.org/W2170309362","https://openalex.org/W2170365628","https://openalex.org/W2331898814","https://openalex.org/W2334782222","https://openalex.org/W2373456799","https://openalex.org/W2477183992","https://openalex.org/W2498311288","https://openalex.org/W2579520182","https://openalex.org/W2916854172","https://openalex.org/W3110191396","https://openalex.org/W3151002452","https://openalex.org/W3183756072","https://openalex.org/W4236100285","https://openalex.org/W4245645908","https://openalex.org/W4299422266","https://openalex.org/W4313371724"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W1514924336","https://openalex.org/W2002967116","https://openalex.org/W2024400191","https://openalex.org/W2024878248","https://openalex.org/W2375584271","https://openalex.org/W1997105855","https://openalex.org/W2340621660","https://openalex.org/W2025749204","https://openalex.org/W2012889557"],"abstract_inverted_index":{"Mammography":[0],"is":[1],"the":[2,15,25,75,129,133,153,157,165],"most":[3],"effective":[4],"screening":[5],"tool":[6],"for":[7],"early":[8],"diagnosis":[9],"of":[10,24,74,82,156,167],"breast":[11,39,76],"cancer.":[12],"Based":[13],"on":[14,58],"mammography":[16,148],"findings,":[17],"radiologists":[18,64,110,144],"need":[19],"to":[20,37,62,88,114,127,140],"choose":[21],"from":[22],"one":[23],"following":[26],"three":[27],"alternatives:":[28],"1)":[29],"take":[30],"immediate":[31],"diagnostic":[32],"actions":[33],"including":[34,160],"prompt":[35],"biopsy":[36],"confirm":[38],"cancer;":[40],"2)":[41],"recommend":[42,47],"a":[43,59,99,116,146,168],"follow-up":[44,84],"mammogram;":[45],"3)":[46],"routine":[48],"annual":[49],"mammography.":[50],"There":[51],"are":[52,86],"no":[53],"validated":[54],"structured":[55],"guidelines":[56],"based":[57],"decision-analytical":[60],"framework":[61],"aid":[63],"in":[65,92],"making":[66],"such":[67],"patient":[68],"management":[69],"decisions.":[70],"Surprisingly,":[71],"only":[72],"15-45%":[73],"biopsies":[77],"and":[78,95,136],"less":[79],"than":[80],"1%":[81],"short-interval":[83],"recommendations":[85],"found":[87],"be":[89],"malignant,":[90],"resulting":[91],"unnecessary":[93],"tests":[94],"patient-anxiety.":[96],"We":[97,123,150],"develop":[98],"finite-horizon":[100],"discrete-time":[101],"Markov":[102],"decision":[103],"process":[104],"(MDP)":[105],"model":[106,135],"that":[107,163],"may":[108],"help":[109],"make":[111],"patient-management":[112],"decisions":[113,141],"maximize":[115],"patient's":[117],"total":[118],"expected":[119],"quality-adjusted":[120],"life":[121],"years.":[122],"use":[124],"clinical":[125],"data":[126],"find":[128],"policies":[130],"recommended":[131],"by":[132,143],"MDP":[134,158],"also":[137,151],"compare":[138],"them":[139],"made":[142],"at":[145],"large":[147],"practice.":[149],"derive":[152],"structural":[154],"properties":[155],"model,":[159],"sufficiency":[161],"conditions":[162],"ensure":[164],"existence":[166],"double":[169],"control-limit":[170],"type":[171],"policy.":[172]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":7},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":7},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":1}],"updated_date":"2026-06-11T09:08:48.828518","created_date":"2025-10-10T00:00:00"}
