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Availability of prior mammograms affects incomplete report rates in mobile screening mammography

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Abstract

Purpose

Mobile mammography can improve access to screening mammography in rural areas and underserved populations. We evaluated the frequency of incomplete reports in mobile mammography screening and the relationships between prior mammograms and recall rates.

Methods

The frequency of incomplete mammogram reports, the subgroups of those needing prior comparison mammograms, recalls for additional imaging, and availability of prior mammograms of a mobile screening mammography unit were compared with fixed site mammography from January 1, 2007 through December 31, 2009. All mobile unit mammograms were full field digital mammography (FFDM). Differences between rates of recall, incomplete reports, and availability of prior mammograms were calculated using the Chi-Square statistic.

Results

Of 2640 mobile mammography cases, 21.9% (578) reports were incomplete, versus 15.2% (7653) (p ≤ 0.001) of 50325 fixed site reports. Of incomplete cases, recall for additional imaging occurred among 8.3% (218) of mobile mammography reports versus 11.3% (5708) (p ≤ 0.001) of fixed site reports. Prior mammograms were needed among 13.6% (360) of mobile mammography versus 3.9% (1945) (p ≤ 0.001) of fixed site reports. Mobile mammography recall rate varied with availability of prior mammograms: 16.0% (54) when no prior mammograms, 7.6% (127) when prior mammograms were elsewhere but unavailable and 5.9% (37) when prior FFDM were immediately available (p ≤ 0.001).

Conclusions

Incomplete reports were more frequent in mobile mammography than the fixed site. The availability of prior comparison mammograms at time of interpretation decreased the rate of incomplete mammogram reports. Recall rates were higher without prior comparison mammograms and lowest when comparison FFDM mammograms were available.

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Acknowledgements

Great Plains Indian Health Service, Spirit of Eagles Network. Kuanwong Watcharotone for statistical evaluations. Scientific presentation at the 2011 RSNA meeting. R25CA112383 and UL1RR024986 from the National Cancer Institute. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health.

Funding

Funding was received by Division of Cancer Epidemiology and Genetics, National Cancer Institute (Grand No. R25 CA112383-06).

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Correspondence to Marilyn A. Roubidoux.

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Conflict of interest

Marilyn A. Roubidoux is a paid consultant for Delphinus Corp. This work is entirely unrelated to this study. Peggy Shih-Pei Wu, Emily L. Roen Nolte, and Annette I. Joe declare no conflict of interest. Joel A. Begay declares Grant Support 2017: National Cancer Institute R25 CA112383-06 Cancer Epidemiology Education in Special Populations.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional review board (IRB) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

This was a retrospective study. For this type of study, formal consent is not required by the IRB.

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Roubidoux, M.A., Shih-Pei Wu, P., Nolte, E.L.R. et al. Availability of prior mammograms affects incomplete report rates in mobile screening mammography. Breast Cancer Res Treat 171, 667–673 (2018). https://doi.org/10.1007/s10549-018-4861-4

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