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Anna N. A. Tosteson, ScD

Professor of The Dartmouth Institute
Professor of Medicine
Professor of Community and Family Medicine
James J. Carroll 1948 Professor of Oncology

Additional Titles/Positions/Affiliations
Director, Comparative Effectiveness Research Program, The Dartmouth Institute for Health Policy and Clinical Practice
Associate Director for Population Sciences, Dartmouth Cancer Center
Principal Investigator, SYNERGY, Dartmouth's Clinical and Translational Science Institute

The Dartmouth Institute
Community and Family Medicine

Biostatistics (Health Decision Sciences), Harvard University, ScD
Biostatistics, Harvard University, MS
Statistics & Biometry, Cornell University, BS

Norris Cotton Cancer Center
The Dartmouth Institute for Health Policy and Clinical Practice

Academic Analytics
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Contact Information

Geisel School of Medicine at Dartmouth
One Medical Center Drive
Lebanon NH 03756

Office: WTRB 526, DHMC
Phone: 603-646-5664
Email: Anna.Tosteson@dartmouth.edu

Assistant: Christopher Jacobs
Asst. Phone: 603-646-5237
Asst. Email: Christopher.R.Jacobs@Dartmouth.EDU

Professional Interests

Dr. Anna Tosteson is a decision scientist and health services researcher who studies how the diffusion of innovations in health care are changing health, costs and quality of care. Through study of diverse data sources including registries, electronic health record data, clinical and epidemiological studies, and administrative claims data, she seeks insights into the long-term clinical and economic effects of alternative approaches to health care delivery with a focus on cancer screening, musculoskeletal disease, and women’s health.

Grant Information

Promoting follow-up of abnormal cancer screening tests using population-based systems to support stepped care multilevel intervention. (NCI: U01CA225451 )

Risk-based breast cancer screening and surveillance in community practice. (NCI, P01CA154292)

Courses Taught

PH 119/121; QBS 140 Decision and Cost-Effectiveness Analysis

Selected Publications


Digital mammography and digital breast tomosynthesis for detecting invasive lobular and ductal carcinoma.
Onega T, Abraham L, Miglioretti DL, Lee CI, Henderson LM, Kerlikowske K, Tosteson ANA, Weaver D, Sprague BL, Bowles EJA, di Florio-Alexander RM
Breast Cancer Res Treat. 2023 Sep 11; doi: 10.1007/s10549-023-07051-6. Epub 2023 Sep 11.
PMID: 37697031

Broadband Data Forensics: Spatiotemporal Variations of the Download/Upload Speed Metric Commonly Used to Evaluate Potential Telehealth Accessibility.
Alford-Teaster J, Wang F, Moen EL, Cowan L, Smith RE, Tosteson ANA, Onega T
Telemed J E Health. 2023 Sep 4; doi: 10.1089/tmj.2023.0320. Epub 2023 Sep 4.
PMID: 37668655

A Survey of Cancer Risk Behaviors, Beliefs, and Social Drivers of Health in New Hampshire and Vermont.
Skipper TA, Weiss JE, Carlos HA, Gunn CM, Hasson RM, Peacock JL, Schiffelbein JE, Tosteson ANA, Lansigan F, Rees JR
Cancer Res Commun. 2023 Aug;3(8):1678-1687. doi: 10.1158/2767-9764.CRC-23-0267. Epub 2023 Aug 29.
PMID: 37649812

Cancer Epidemiology in the Northeastern United States (2013-2017).
Rees JR, Weiss JE, Gunn CM, Carlos HA, Dragnev NC, Supattapone EY, Tosteson ANA, Kraft SA, Vahdat LT, Peacock JL
Cancer Res Commun. 2023 Aug;3(8):1538-1550. doi: 10.1158/2767-9764.CRC-23-0152. Epub 2023 Aug 14.
PMID: 37583435

Impact of Surveillance Mammography Intervals Less Than One Year on Performance Measures in Women With a Personal History of Breast Cancer.
Lee JM, Ichikawa LE, Wernli KJ, Bowles EJA, Specht JM, Kerlikowske K, Miglioretti DL, Lowry KP, Tosteson ANA, Stout NK, Houssami N, Onega T, Buist DSM
Korean J Radiol. 2023 Aug;24(8):729-738. doi: 10.3348/kjr.2022.1038.
PMID: 37500574

Implementing shared decision making for early-stage breast cancer treatment using a coproduction learning collaborative: the SHAIR Collaborative protocol.
Schubbe D, Yen RW, Leavitt H, Forcino RC, Jacobs C, Friedman EB, McEvoy M, Rosenkranz KM, Rojas KE, Bradley A, Crayton E, Jackson S, Mitchell M, O'Malley AJ, Politi M, Tosteson ANA, Wong SL, Margenthaler J, Durand MA, Elwyn G
Implement Sci Commun. 2023 Jul 14;4(1):79. doi: 10.1186/s43058-023-00453-z. Epub 2023 Jul 14.
PMID: 37452387

Association of rurality, socioeconomic status, and race with pancreatic cancer surgical treatment and survival.
Brooks GA, Tomaino MR, Ramkumar N, Wang Q, Kapadia NS, O'Malley AJ, Wong SL, Loehrer AP, Tosteson ANA
J Natl Cancer Inst. 2023 May 26; pii: djad102. doi: 10.1093/jnci/djad102. Epub 2023 May 26.
PMID: 37233399

National Performance Benchmarks for Screening Digital Breast Tomosynthesis: Update from the Breast Cancer Surveillance Consortium.
Lee CI, Abraham L, Miglioretti DL, Onega T, Kerlikowske K, Lee JM, Sprague BL, Tosteson ANA, Rauscher GH, Bowles EJA, diFlorio-Alexander RM, Henderson LM, Breast Cancer Surveillance Consortium
Radiology. 2023 May;307(4):e222499. doi: 10.1148/radiol.222499. Epub 2023 Apr 11.
PMID: 37039687

Harnessing the Collective Expertise of Patients, Care Partners, Clinical Teams, and Researchers Through a Coproduction Learning Health System: A Case Study of the Dartmouth Health Promise Partnership.
Tosteson ANA, Kirkland KB, Holthoff MM, Van Citters AD, Brooks GA, Cullinan AM, Dowling-Schmitt MC, Holmes AB, Meehan KR, Oliver BJ, Wasp GT, Wilson MM, Nelson EC
J Ambul Care Manage. 2023 Apr-Jun 01;46(2):127-138. doi: 10.1097/JAC.0000000000000460.
PMID: 36820633

Association of rurality with utilization of palliative care and hospice among Medicare beneficiaries who died from pancreatic cancer: A cohort study.
Ramkumar N, Wang Q, Brooks GA, Tosteson ANA, Wong SL, Loehrer AP
J Rural Health. 2023 Jun;39(3):557-564. doi: 10.1111/jrh.12739. Epub 2023 Jan 11.
PMID: 36631820

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