Time to Clinical Follow-up after Abnormal Mammogram among African American and Hispanic Women

J Health Care Poor Underserved. 2018;29(1):448-462. doi: 10.1353/hpu.2018.0030.

Abstract

Background: Time to clinical follow-up after an abnormal mammogram may be a significant factor contributing to breast cancer health disparities.

Objective: Evaluate time to follow-up in a cross-sectional cohort of African American and Hispanic women who obtained mammogram screening at a county facility.

Methods: Time to follow-up was assessed in days after an abnormal mammogram to subsequent clinical care in a cross-sectional study of 74 women.

Results: The median number of days until clinical follow-up after an abnormal mammogram for women in the study was 30 days (Range: 0-357 days). There was a statistically significant difference in the time-to-biopsy among women who had incomplete mammograms and women who had comorbid conditions.

Conclusions: This data indicates that county services provide clinical follow-up in compliance with recommended guidelines of 30 days. However, women with incomplete mammograms and comorbid conditions may be at a higher risk of experiencing delays in diagnosis and treatment.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Black or African American* / statistics & numerical data
  • Breast Neoplasms / diagnostic imaging
  • Breast Neoplasms / ethnology*
  • Cohort Studies
  • Cross-Sectional Studies
  • Female
  • Follow-Up Studies
  • Healthcare Disparities / ethnology*
  • Hispanic or Latino* / statistics & numerical data
  • Humans
  • Mammography / statistics & numerical data*
  • Middle Aged
  • Risk Factors
  • Time-to-Treatment / statistics & numerical data*