Racial/Ethnic Disparities in Time to Follow-Up after an Abnormal Mammogram

Press, Rebecca; Carrasquillo, Olveen; Sciacca, Robert R.; Giardina, Elsa‐Grace V.

doi:10.1089/jwh.2007.0402

Cited by 140 publications

(120 citation statements)

References 49 publications

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“…In previous studies, lack of insurance was reported to delay follow-up care. 5,[20][21][22] Whereas low-income African American women in this study may have access to Medicaid, immigration status may impede eligibility for Latina women. Navigators enrolled women in Stand Against Cancer, a state program that finances cancer screenings and treatment for uninsured, low-income women regardless of immigration status.…”

Section: Discussionmentioning

confidence: 95%

“…4 These observed mortality and survival disparities are attributed to a number of factors, including delayed follow-up to abnormal cancer screening. 3,[5][6][7][8][9][10][11][12][13] Studies have reported individual factors associated with delays, including minority ethnicity; 5,11,[14][15][16][17][18][19] lack of health insurance or limitations of public insurance; 5,[20][21][22] younger age; 17,20,22 having less than a high school diploma; 18,23,24 and lack of regular access to a healthcare provider. 16 Medical-related factors associated with delay include absence of breast symptoms; 15,25 less severe test findings; 5,26 or previous abnormal test findings.…”

Section: Introductionmentioning

confidence: 99%

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Patient Barriers to Follow-Up Care for Breast and Cervical Cancer Abnormalities

Tejeda

Darnell

Cho

et al. 2013

Journal of Women's Health

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Background: Women with breast or cervical cancer abnormalities can experience barriers to timely follow-up care, resulting in delays in cancer diagnosis. Patient navigation programs that identify and remove barriers to ensure timely receipt of care are proliferating nationally. The study used a systematic framework to describe barriers, including differences between African American and Latina women; to determine recurrence of barriers; and to examine factors associated with barriers to follow-up care. Methods: Data originated from 250 women in the intervention arm of the Chicago Patient Navigation Research Program (PNRP). The women had abnormal cancer screening findings and navigator encounters. Women were recruited from a community health center and a publicly owned medical center. After describing proportions of African American and Latina women experiencing particular barriers, logistic regression was used to explore associations between patient characteristics, such as race/ethnicity, and type of barriers. Results: The most frequent barriers occurred at the intrapersonal level (e.g., insurance issues and fear), while institutional-level barriers such as system problems with scheduling care were the most commonly recurring over time (29%). The majority of barriers (58%) were reported in the first navigator encounter. Latinas (81%) reported barriers more often than African American women (19%). Differences in race/ethnicity and employment status were associated with types of barriers. Compared to African American women, Latinas were more likely to report an intrapersonal level barrier. Unemployed women were more likely to report an institutional level barrier. Conclusion: In a sample of highly vulnerable women, there is no single characteristic (e.g., uninsured) that predicts what kinds of barriers a woman is likely to have. Nevertheless, navigators appear able to easily resolve intrapersonal-level barriers, but ongoing navigation is needed to address system-level barriers. Patient navigation programs can adopt the PNRP barriers framework to assist their efforts in assuring timely follow-up care.

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Patient Barriers to Follow-Up Care for Breast and Cervical Cancer Abnormalities

Tejeda

Darnell

Cho

et al. 2013

Journal of Women's Health

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“…One national U.S. organization has undertaken to measure such timeliness as part of a quality assurance program ( 3 ) and is accumulating data, albeit using a self-selected group of reporting institutions. Reports are limited in regard to follow-up after screening, with most being issued from single institutions, some from regional data collection, and others reporting the effect of interventions in this process (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). We undertook this study because the current literature lacks a broad profi le of facility timeliness measures in regard to the additional evaluation of patients with screening-detected abnormalities.…”

Section: Breast Imaging: Timeliness Of Follow-up After Abnormal Screementioning

confidence: 99%

Timeliness of Follow-up after Abnormal Screening Mammogram: Variability of Facilities

Rosenberg¹,

Haneuse

Geller

et al. 2011

Radiology

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Purpose:To describe the timeliness of follow-up care in communitybased settings among women who receive a recommendation for immediate follow-up during the screening mammography process and how follow-up timeliness varies according to facility and facility-level characteristics. Materials and Methods:This was an institutional review board-approved and HIPAA-compliant study. Screening mammograms obtained from 1996 to 2007 in women 40-80 years old in the Breast Cancer Surveillance Consortium were examined. Inclusion criteria were a recommendation for immediate follow-up at screening, or subsequent imaging, and observed follow-up within 180 days of the recommendation. Recommendations for additional imaging (AI) and biopsy or surgical consultation (BSC) were analyzed separately. The distribution of time to follow-up care was estimated by using the Kaplan-Meier estimator. Results:Data were available on 214 897 AI recommendations from 118 facilities and 35 622 BSC recommendations from 101 facilities. The median time to subsequent follow-up care after recommendation was 14 days for AI and 16 days for BSC. Approximately 90 % of AI follow-up and 81% of BSC follow-up occurred within 30 days. Facilities with higher recall rates tended to have longer AI follow-up times ( P , .001). Over the study period, BSC follow-up rates at 15 and 30 days improved ( P , .001). Follow-up times varied substantially across facilities. Timely follow-up was associated with larger volumes of the recommended procedures but not notably associated with facility type nor observed facility-level characteristics.

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“…Latinas frequently experience delays in definitive diagnosis following an abnormal mammogram report (Ashing-Giwa, et al, 2010) (Chen, et al, 2010;Press, et al, 2008). They often do not understand what an abnormal mammogram means (Karliner, et al, 2005).…”

Section: Implications For Nursing Practicementioning

confidence: 99%

“…This percentage may be even greater among recent immigrants, and those with limited English skills and lower education levels. In particular, Hispanic ethnicity and low income have both been shown to be associated with longer wait times between the abnormal mammogram result and diagnostic follow-up compared to nonHispanic white women (n= 6000 women) (Press, Carrasquillo, Sciacca, & Giardina, 2008). Among a group of 11,000 low-income women enrolled in a free statewide screening program, a retrospective case-control analysis revealed that of the 37% that required follow-up, 30% experienced delays of more than 60 days and Hispanic and African-American women were more likely than Caucasians to experience delays (Wujcik et al, 2009).…”

mentioning

confidence: 99%

Text Messaging May Improve Abnormal Mammogram Follow-Up in Latinas

Oakley-Girvan¹,

Londono²,

Canchola³

et al. 2016

ONF

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Purpose/Objectives: To develop and pilot test a text message notification process to reduce follow-up time for abnormal mammograms.Design: Formative analysis; randomized trial with delayed intervention control group. Setting: Federally qualified health center, Tiburcio Vasquez Health Clinic (TVHC).Sample: Thirty-one Spanish-speaking Latinas with abnormal mammograms. Methods:One Spanish text message was developed based on findings from two focus groups and five interviews with TVHC health care professionals. Fifteen women were assigned to receive text messages within 24 hours of receipt of abnormal mammogram by TVHC (intervention group), and 16 to receive text messages four weeks later (delayed intervention group). Main Research Variables:Number of days between the abnormal mammogram and the return for follow-up appointment. Findings:The median number of days between the abnormal mammogram report and the return for follow-up was 23 days for the intervention group and 59 days for the delayed intervention group (p = 0.0569). Conclusions:Our study successfully developed a text message that, in Latinas, may decrease the time from receipt of an abnormal mammogram report to attendance at a follow-up visit. Implications for Nursing:This simple low-cost approach could result in earlier detection of breast cancers, and thus lower morbidity and mortality among Latinas.Knowledge Translation: Latina women had a high rate of cell phone ownership. Both focus group members and health professionals felt the text message should be short and refer the patient back to the clinic. A short text message added to usual care was associated with earlier return for follow-up appointment.

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Racial/Ethnic Disparities in Time to Follow-Up after an Abnormal Mammogram

Cited by 140 publications

References 49 publications

Patient Barriers to Follow-Up Care for Breast and Cervical Cancer Abnormalities

Patient Barriers to Follow-Up Care for Breast and Cervical Cancer Abnormalities

Timeliness of Follow-up after Abnormal Screening Mammogram: Variability of Facilities

Text Messaging May Improve Abnormal Mammogram Follow-Up in Latinas

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