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Effectiveness of a Mobile Mammography Program.
Elizabeth Stanley1, Madelene C Lewis1, Abid Irshad1
11 Department of Radiology, Medical University of South Carolina, 96 Jonathan Lucas St, MSC 323, Charleston, SC 29425.
AJR. American Journal of Roentgenology
|September 6, 2017
Summary
Mobile mammography units serve diverse populations, including more uninsured and minority patients, but show lower adherence to follow-up screening. Tailored programs are needed to improve screening and follow-up rates for these underserved groups.
Area of Science:
- Radiology
- Public Health
- Health Disparities
Background:
- Mobile mammography units are increasingly utilized to reduce healthcare access barriers.
- Limited comparative data exist on patient characteristics and screening outcomes between mobile units and stationary cancer centers.
Purpose of the Study:
- To compare the sociodemographic characteristics and screening outcomes of women undergoing mammography at a mobile unit versus a stationary cancer center.
Main Methods:
- Retrospective analysis of 1433 mammography examinations from a mobile unit and 1434 from a cancer center in 2014.
- Comparison of patient demographics, insurance status, race, marital status, adherence to guidelines, recall rates, and follow-up adherence using t-tests and chi-square analyses.
Main Results:
- Mobile unit patients were younger, more racially diverse (higher Black and Hispanic representation), and had higher rates of uninsurance compared to cancer center patients.
- Mobile unit screening showed lower adherence to guidelines and follow-up recommendations, despite a higher recall rate.
- Cancer center patients were older, more likely to be married, and exhibited better adherence to screening and follow-up.
Conclusions:
- Significant demographic and behavioral differences exist between patients using mobile mammography and those attending a cancer center.
- Mobile mammography serves a more diverse, often underserved population, highlighting the need for targeted interventions to enhance screening compliance and follow-up.
- Understanding these patient characteristics is crucial for developing effective strategies to improve breast cancer screening and follow-up rates in diverse populations.
