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Clinical Imaging of Microwave Mammography
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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
PubMed
Summary
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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:

Keywords:
health care disparitiesmobile mammographyscreening mammography

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  • 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.