| Timeliness of follow-up after abnormal screening mammogram: variability of facilities. | |
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MedLine Citation:
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PMID: 21900620 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2011-09-07 |
Journal Detail:
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Title: Radiology Volume: 261 ISSN: 1527-1315 ISO Abbreviation: Radiology Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-10-20 Completed Date: 2011-12-07 Revised Date: 2013-02-19 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: United States |
Other Details:
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Languages: eng Pagination: 404-13 Citation Subset: AIM; IM |
Copyright Information:
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RSNA, 2011 |
Affiliation:
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Department of Radiology, University of New Mexico-HSC, 1 University of New Mexico, HSC 10 5530, Albuquerque, NM 87131-0001, USA. rrosenb@unm.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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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 |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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