Annals of Surgical Oncology

, Volume 24, Issue 3, pp 692–697

The Impact of Primary Care Providers on Patient Screening Mammography and Initial Presentation in an Underserved Clinical Setting

  • Ajaratu Keshinro
  • Ioannis Hatzaras
  • Kenneth Rifkind
  • Shubhada Dhage
  • Kathie-Ann Joseph
Breast Oncology

DOI: 10.1245/s10434-016-5618-0

Cite this article as:
Keshinro, A., Hatzaras, I., Rifkind, K. et al. Ann Surg Oncol (2017) 24: 692. doi:10.1245/s10434-016-5618-0
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Abstract

Introduction

Cancer screening is a key component of primary care, and access to regular screening mammography (SMG) is highly dependent on recommendation and referral by a primary care provider (PCP). Women with no health insurance or who are underinsured often lack access to a regular PCP and thus access to routine screening.

Methods

We retrospectively reviewed the charts of 173 surgical patients diagnosed between January 2012 and December 2013. The main outcome variables were PCP status, method of cancer detection, and breast cancer stage at diagnosis. Additional variables included race, age at diagnosis, family history of breast and ovarian cancer, and medical comorbidities.

Results

Patients with a PCP received more mammograms (SMG) compared with patients without a PCP (61 vs. 37 %; p = 0.003). The majority (73 %) of patients without a PCP presented symptomatically with a palpable mass versus 42 % of patients with a PCP. A significant difference was noted with regard to final pathologic stage of breast cancer between the two groups (p = 0.019), and Caucasian and African American patients were more likely to have locally advanced breast cancer.

Conclusions

Underserved patients with a PCP are more likely to present asymptomatically and at an earlier stage of breast cancer compared with patients without a PCP. Community engagement programs that build relationships with patients may help bring vulnerable patients into the healthcare system for routine screening. Moreover, PCP education regarding the subtleties of breast cancer screening guidelines and referral to a breast specialist is also critical in improving outcomes of underserved patients.

Copyright information

© Society of Surgical Oncology 2016

Authors and Affiliations

  • Ajaratu Keshinro
    • 1
  • Ioannis Hatzaras
    • 1
  • Kenneth Rifkind
    • 2
  • Shubhada Dhage
    • 1
  • Kathie-Ann Joseph
    • 1
  1. 1.Department of Surgery, NYU Langone Medical CenterBellevue Hospital Medical CenterNew YorkUSA
  2. 2.Department of Surgery, NYU Langone Medical CenterNYU Lutheran HospitalNew YorkUSA

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