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Anna N. A. Tosteson, ScD

Professor of Medicine
Professor of Community and Family Medicine
Interim Director and Professor of The Dartmouth Institute
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, Norris Cotton Cancer Center
Associate Director, SYNERGY, Dartmouth's Clinical and Translational Science Institute

Community and Family Medicine
The Dartmouth Institute

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

Contact Information:

Dartmouth Medical School
HB 7505
One Medical Center Drive
Lebanon NH 03756

Office: WTRB 526, DHMC
Phone: 603-653-3568

Assistant: Christopher Jacobs
Asst. Phone: 603-653-0802
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, 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:


What matters most: Randomized controlled trial of breast cancer surgery conversation aids across socioeconomic strata.
Durand MA, Yen RW, O'Malley AJ, Schubbe D, Politi MC, Saunders CH, Dhage S, Rosenkranz K, Margenthaler J, Tosteson ANA, Crayton E, Jackson S, Bradley A, Walling L, Marx CM, Volk RJ, Sepucha K, Ozanne E, Percac-Lima S, Bergin E, Goodwin C, Miller C, Harris C, Barth RJ Jr, Aft R, Feldman S, Cyr AE, Angeles CV, Jiang S, Elwyn G
Cancer. 2021 Feb 1;127(3):422-436. doi: 10.1002/cncr.33248. Epub 2020 Nov 10.
PMID: 33170506

Integration of Registries with EHRs to Accelerate Generation of Real-World Evidence for Clinical Practice and Learning Health Systems Research: Recommendations from a Workshop on Registry Best Practices.
Franklin PD, Lurie J, Tosteson TD, Tosteson ANA, Task Force on Musculoskeletal Registries.
J Bone Joint Surg Am. 2020 Oct 7;102(19):e110. doi: 10.2106/JBJS.19.01464.
PMID: 33027129

The Development of a Crosswalk for Functional Measures in Postacute Medicare Claims.
McDonough CM, Carmichael D, Marino ME, Ni P, Tosteson ANA, Bynum JPW
Phys Ther. 2020 Sep 28;100(10):1862-1871. doi: 10.1093/ptj/pzaa117.
PMID: 32949237

Screening Performance of Digital Breast Tomosynthesis vs Digital Mammography in Community Practice by Patient Age, Screening Round, and Breast Density.
Lowry KP, Coley RY, Miglioretti DL, Kerlikowske K, Henderson LM, Onega T, Sprague BL, Lee JM, Herschorn S, Tosteson ANA, Rauscher G, Lee CI
JAMA Netw Open. 2020 Jul 1;3(7):e2011792. doi: 10.1001/jamanetworkopen.2020.11792. Epub 2020 Jul 1.
PMID: 32721031

Assessment of Radiologist Performance in Breast Cancer Screening Using Digital Breast Tomosynthesis vs Digital Mammography.
Sprague BL, Coley RY, Kerlikowske K, Rauscher GH, Henderson LM, Onega T, Lee CI, Herschorn SD, Tosteson ANA, Miglioretti DL
JAMA Netw Open. 2020 Mar 2;3(3):e201759. doi: 10.1001/jamanetworkopen.2020.1759. Epub 2020 Mar 2.
PMID: 32227180

Opportunities and Challenges of Claims-Based Quality Assessment: The Case of Postdischarge β-Blocker Treatment in Patients With Heart Failure With Reduced Ejection Fraction.
Gilstrap L, Skinner JS, Gladders B, O'Malley AJ, Barnato AE, Tosteson ANA, Austin AM
Circ Cardiovasc Qual Outcomes. 2020 Mar;13(3):e006180. doi: 10.1161/CIRCOUTCOMES.119.006180. Epub 2020 Mar 9.
PMID: 32148101

Breast cancer risk, worry, and anxiety: Effect on patient perceptions of false-positive screening results.
Lee JM, Lowry KP, Cott Chubiz JE, Swan JS, Motazedi T, Halpern EF, Tosteson ANA, Gazelle GS, Donelan K
Breast. 2020 Apr;50:104-112. doi: 10.1016/j.breast.2020.02.004. Epub 2020 Feb 13.
PMID: 32135458

An Abbreviated MRI Protocol for Breast Cancer Screening in Women With Dense Breasts: Promising Results, but Further Evaluation Required Prior to Widespread Implementation.
Tosteson ANA
JAMA. 2020 Feb 25;323(8):719-721. doi: 10.1001/jama.2020.0357.
PMID: 32096832

Knowledge and Perception of Breast Density, Screening Mammography, and Supplemental Screening: in Search of "Informed".
Schifferdecker KE, Tosteson ANA, Kaplan C, Kerlikowske K, Buist DSM, Henderson LM, Johnson D, Jaworski J, Jackson-Nefertiti G, Ehrlich K, Marsh MW, Vu L, Onega T, Wernli KJ
J Gen Intern Med. 2020 Jun;35(6):1654-1660. doi: 10.1007/s11606-019-05560-z. Epub 2019 Dec 2.
PMID: 31792869

Assessment of Second-Opinion Strategies for Diagnoses of Cutaneous Melanocytic Lesions.
Piepkorn MW, Longton GM, Reisch LM, Elder DE, Pepe MS, Kerr KF, Tosteson ANA, Nelson HD, Knezevich S, Radick A, Shucard H, Onega T, Carney PA, Elmore JG, Barnhill RL
JAMA Netw Open. 2019 Oct 2;2(10):e1912597. doi: 10.1001/jamanetworkopen.2019.12597. Epub 2019 Oct 2.
PMID: 31603483

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