Document Detail


Timeliness of follow-up after abnormal screening mammogram: variability of facilities.
MedLine Citation:
PMID:  21900620     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe the timeliness of follow-up care in community-based settings among women who receive a recommendation for immediate follow-up during the screening mammography process and how follow-up timeliness varies according to facility and facility-level characteristics.
MATERIALS AND METHODS: This was an institutional review board-approved and HIPAA-compliant study. Screening mammograms obtained from 1996 to 2007 in women 40-80 years old in the Breast Cancer Surveillance Consortium were examined. Inclusion criteria were a recommendation for immediate follow-up at screening, or subsequent imaging, and observed follow-up within 180 days of the recommendation. Recommendations for additional imaging (AI) and biopsy or surgical consultation (BSC) were analyzed separately. The distribution of time to follow-up care was estimated by using the Kaplan-Meier estimator.
RESULTS: Data were available on 214,897 AI recommendations from 118 facilities and 35,622 BSC recommendations from 101 facilities. The median time to subsequent follow-up care after recommendation was 14 days for AI and 16 days for BSC. Approximately 90% of AI follow-up and 81% of BSC follow-up occurred within 30 days. Facilities with higher recall rates tended to have longer AI follow-up times (P < .001). Over the study period, BSC follow-up rates at 15 and 30 days improved (P < .001). Follow-up times varied substantially across facilities. Timely follow-up was associated with larger volumes of the recommended procedures but not notably associated with facility type nor observed facility-level characteristics.
CONCLUSION: Most patients with follow-up returned within 3 weeks of the recommendation.
Authors:
Robert D Rosenberg; Sebastien J P A Haneuse; Berta M Geller; Diana S M Buist; Diana L Miglioretti; R James Brenner; Rebecca Smith-Bindman; Stephen H Taplin;
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2011-09-07
Journal Detail:
Title:  Radiology     Volume:  261     ISSN:  1527-1315     ISO Abbreviation:  Radiology     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-10-20     Completed Date:  2011-12-07     Revised Date:  2013-12-12    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  404-13     Citation Subset:  AIM; IM    
Copyright Information:
RSNA, 2011
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Breast Neoplasms / epidemiology,  radiography*
Female
Follow-Up Studies
Humans
Mammography*
Mass Screening
Middle Aged
Patient Compliance*
Registries
Time Factors
United States / epidemiology
Grant Support
ID/Acronym/Agency:
K24 CA125036/CA/NCI NIH HHS; U01CA63731/CA/NCI NIH HHS; U01CA63736/CA/NCI NIH HHS; U01CA63740/CA/NCI NIH HHS; U01CA69976/CA/NCI NIH HHS; U01CA70013/CA/NCI NIH HHS; U01CA70040/CA/NCI NIH HHS; U01CA86076/CA/NCI NIH HHS; U01CA86082/CA/NCI NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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