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Mammography utilization in a skilled nursing facility
G Kerins1, C Gruman, R Schwartz
1University of Connecticut Health Center, Farmington 06030-6232, USA.
Connecticut Medicine
|December 2, 2000
Summary
Mammography screening in older women (75+) in skilled nursing facilities showed frequent abnormal results, necessitating further investigation. This highlights the need for updated screening guidelines for this population.
Area of Science:
- Geriatric Medicine
- Oncology
- Radiology
Background:
- Mammography screening is standard for breast cancer detection.
- Its utility in elderly long-term care residents requires specific evaluation.
Purpose of the Study:
- To analyze mammography use in women aged 75+ in skilled nursing facilities.
- To assess clinical decisions following screening in this demographic.
Main Methods:
- Retrospective review of 95 women's medical charts.
- Analysis of mammography utilization and outcomes.
Main Results:
- 179 mammograms were performed on 95 patients (avg. 1.9 per patient).
- 45% of women had abnormal results requiring further investigation.
Conclusions:
- Screening mammography's role in long-term care needs clarification for guideline development.
- Future research should consider patient preferences and psychological impact.