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Optimizing Access to Same-Day Breast Biopsy: Factors Associated With Same-Day Procedure Scheduling After Program

Abigail Lin1, Derek L Nguyen2, Lars J Grimm3

  • 1Department of Breast Imaging, Division of Diagnostic Imaging, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.

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Morning diagnostic workups and ultrasound-guided biopsies increase same-day procedure offers. Scheduling earlier can improve access for patients needing urgent care or with psychosocial factors.

Keywords:
Access disparitiesbreast imagingsame-day biopsysame-day procedures

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Area of Science:

  • Medical Quality Improvement
  • Breast Imaging Logistics
  • Healthcare Access Optimization

Background:

  • Implementing standardized programs for same-day procedures aims to improve patient care efficiency.
  • Understanding factors influencing same-day procedure offers is crucial for optimizing healthcare delivery.

Purpose of the Study:

  • To identify patient and diagnostic factors associated with offering same-day breast procedures.
  • To evaluate the effectiveness of a standardized same-day procedure program.

Main Methods:

  • Quality improvement study analyzing data from 315 patients undergoing breast procedures.
  • Utilized nominal logistic modeling to assess associations between patient/diagnostic characteristics and same-day procedure logistics.
  • Recorded patient demographics, examination details, and 'add-on' procedure occurrences.

Main Results:

  • 53% of patients were offered a same-day biopsy; 11% received 'add-on' procedures.
  • Morning recommendation times and ultrasound-guided biopsies were linked to higher same-day offer rates.
  • Ultrasound-guided aspirations, fluid collections, and BI-RADS 5 findings increased likelihood of 'add-on' procedures.

Conclusions:

  • Earlier scheduling of diagnostic workups, particularly in the morning, is recommended for institutions offering same-day services.
  • Prioritizing patients with highly suspicious lesions, abscesses, seromas, or psychosocial factors can further enhance same-day care access.
  • Optimizing scheduling logistics can reduce delays and improve timely patient management.