Breast Cancer Screening (PROSPR)

Established with funding from the National Cancer Institute in 2011, the Dartmouth-Brigham PROSPR (“Population-based Research Optimizing Screening through Personalized Regimens”) is committed to patient-centered comparative effectiveness research to improve information on breast cancer screening for women and their health care providers.


By studying populations of women receiving primary care through Dartmouth-Hitchcock’s Regional Primary Care Center in New Hampshire and the Brigham & Women’s Primary Care Practice-based Research Network in Massachusetts, the Center will develop and evaluate systems-based approaches using the latest in health-information technology to improve the quality of care for women undergoing breast cancer screening.

The  Center’s goals are to

  • Improve screening process outcomes
  • Improve screening benefits
  • Reduce screening harms

PROSPR Center Directors

  • Anna N.A. Tosteson, ScD
    Anna N.A. Tosteson, ScD Dr. Tosteson's methodological interests include decision-analytic modeling, economic evaluation, preference-based measures of health-related quality of life, and statistical methods for diagnostic technology assessment. 
    Departments of Medicine and of Community & Family Medicine
    The Dartmouth Institute for Health Policy & Clinical Practice
    Geisel School of Medicine at Dartmouth
    Director, NCCC Office of Cancer Comparative Effectiveness Research
    James J. Carroll Professor in Oncology at the Norris Cotton Cancer Center and the Geisel School of Medicine.
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  • Tracy Onega, PhD, MA, MS
    Tracy Onega, PhD, MA, MS Cancer care delivery – utilization and outcomes, Cancer Screening, Geospatial aspects of health care delivery, Geoinformatics
    Associate Professor of Community & Family Medicine and of The Dartmouth Institute
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