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Communication problems after mammographic screening.

C L Robertson1, D B Kopans

  • 1Boise Radiology Group, Idaho.

Radiology
|August 1, 1989
PubMed
Summary
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Physicians often delayed acting on abnormal screening mammogram results, with 63% of recommended follow-up actions not taken initially. This highlights the need for improved systems to ensure timely patient care after mammographic screening.

Area of Science:

  • Radiology
  • Oncology
  • Public Health

Background:

  • Screening mammography is crucial for early breast cancer detection.
  • Prompt follow-up of abnormal findings is essential for effective cancer management.

Purpose of the Study:

  • To assess the effectiveness of physician notification for abnormal screening mammogram findings.
  • To evaluate the timeliness of diagnostic follow-up after abnormal mammograms.

Main Methods:

  • Prospective assessment of 1,125 screening mammograms in asymptomatic women.
  • Direct physician notification (written reports and phone calls) for abnormal findings.
  • Periodic follow-up calls to physicians regarding outstanding recommendations.

Main Results:

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  • 6% (63/1,125) of screening mammograms showed abnormal findings requiring further evaluation or biopsy.
  • Initially, 63% of recommendations for additional imaging or biopsy were not acted upon.
  • Despite interventions, 6% of patients had not undergone recommended studies after 4.5 months.

Conclusions:

  • Physician notification alone is insufficient to ensure timely follow-up of abnormal mammogram findings.
  • There is a critical need for systematic processes to ensure prompt patient action on abnormal screening mammograms.
  • Improving follow-up rates can enhance the effectiveness of breast cancer screening programs.