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Ann Butler Nattinger, MD, MPH
Professor of Medicine and Health Services Research
Chief, General Internal Medicine
Lady Riders Professor of Breast Cancer Research
Director, Center for Patient Care and Outcomes Research
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Dr. Nattinger has broad experience in health services research including use of various survey methods and analysis of administrative data, Medicare claims and tumor registry data. A nationally recognized cancer health services researcher, Dr. Nattinger's extensive research work includes studying treatment of breast cancer patients, therapy treatment options, physician communication with patients, the utilization of screening tests -- where she developed strategies practitioners can use to improve the utilization of screening mammography by their patients -- and the development and use of videotapes for aiding patients in medical decision making. She has is experienced in studying disparities in care, geographic variations in treatment, quality of life issues, the effect of health policy at the legislative level on the treatment patients will seek, and research methodology. Dr. Nattinger has been the recipient of a number of grants funded by the National Institues of Health and the Department of Defense.
Representative Publications
Nattinger AB, Gottlieb MS, Veum J, Yahnke D, Goodwin JS. Geographic Variation in the Use of Breast-Conserving Treatment for Breast Cancer. N Engl J Med 1992;326:1102-07.
Nattinger AB, Hoffmann RG, Shapiro R, Gottlieb MS, Goodwin JS. The Effect of Legislative Requirements on the Use of Breast-Conserving Surgery. N Engl J Med 1996;335:1035-1040.
Michalski TA, Nattinger AB. The Influence of Black Race and Socioeconomic Status on the Use of Breast Conserving Surgery in Medicare Beneficiaries. Cancer 1997;79:314-319.
Nattinger AB, McAuliffe TL, Schapira MM. Generalizability of the Surveillance, Epidemiology, and End Results Registry Population: Factors Relevant to Epidemiology and Health Care Research. J Clin Epidemiology 1997;50:939-945.
Nattinger AB, Hoffmann RG, Howell-Pelz A, Goodwin JS. The Effect of Nancy Reagan's Mastectomy on Choice of Surgery for Breast Cancer by US Women. JAMA 1998:279:762-766.
Nattinger AB, Hoffman RG, Kneusel RT, Schapira, MM. Relationship Between Appropriateness of Primary Therapy for Early-Stage Breast Carcinoma and Increased Use of Breast Conserving Surgery. Lancet 2000;356:1148-53.
Schapira MM, McAuliffe TL, Nattinger AB. Underutilization of Mammography in Older Breast Cancer Survivors. Med Care 2000;38:281-289.
Nattinger AB, Laud PW, Bajorunaite R, Sparapani RA, Freeman FL. An algorithm for the use of Medicare claims data to identify women with incident breast cancer. Health Serv Res 2004;39(6 Pt1):1733-49.
Neuner JM, Gilligan MA, Sparapani R, Laud PW, Haggstrom D, Nattinger AB. Decentralization of breast cancer surgery in the United States. Cancer 2004;101(6):1323-9.
Gilligan MA, Neuner J, Zhang X, Sparapani R, Laud P, Nattinger AB. Relationship between number of breast cancer operations performed and five-year survival after treatment for early stage breast cancer. Am J Public Health 2007;97:539-544.
Nattinger AB, Laud PW, Sparapani RA, Zhang X, Neuner JM, Gilligan MA. Exploring the surgeon volume-outcome relationship among women with breast cancer. Arch Intern Med 2007;167(18):1958-1963.