Time to Diagnostic Evaluation After Mammographic Screening in an Urban Setting

Oppong, Bridget A.; Dash, Chiranjeev; Coleman, Tesha; Torres, Tanya; Adams‐Campbell, Lucile L.

doi:10.1089/jwh.2015.5661

Cited by 11 publications

(18 citation statements)

References 23 publications

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“…Capital Breast Care Center serves as a safety net for under and uninsured and medically underserved women residing in DC, Maryland and Virginia. 20 All women presenting for screening have their information prospectively collected and entered into the Electronic Medical Record system (EMR). Variables collected include demographic data (including age, race, ethnicity, education level, and reproductive history) and insurance status.…”

Section: Capital Breast Care Centermentioning

confidence: 99%

Breast density in multiethnic women presenting for screening mammography

et al. 2017

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Data on ethnic variations in breast density are limited and often not inclusive of underrepresented minorities. As breast density is associated with elevated breast cancer risk, investigating racial and ethnic difference may elucidate the observed differences in breast cancer risk among different populations. We reviewed breast density from initial screening of women from the Capital Breast Care Center and Georgetown University Hospital from 2010 to 2014. Patient demographics including race, age at screening, education, menopausal status, and body mass index were abstracted. We recorded the BI-RADS density categories: (1) "fatty," (2) "scattered fibroglandular densities," (3) "heterogeneously dense," and (4) "extremely dense." Multivariable unconditional logistic regression was used to identify predictors of breast density. Density categorization was recorded for 2146 women over the 5-year period, comprising Blacks (n = 940), Hispanics (n = 893), and Whites (n = 314). Analysis of subject characteristics by breast density showed that high category is observed in younger, Hispanic, nulliparous, premenopausal, and nonobese women (t-test or chi-square test, P-values <.0001). Obese women are 70% less likely to have high density. Being Hispanic, premenopausal, and nonobese were predictive of high density on logistic regression. In this analysis of density distribution in a diverse sample, Hispanic women have the highest breast density, followed by Blacks and Whites. Unique in our findings is women who identify as Hispanic have the highest breast density and lower rates of obesity. Further investigation of the impact of obesity on breast density, especially in the understudied Hispanic group is needed.

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Section: Capital Breast Care Centermentioning

confidence: 99%

Breast density in multiethnic women presenting for screening mammography

et al. 2017

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“…From a recent publication of CBCC data, Oppong et al showed that the time from an abnormal finding to a diagnostic resolution for patients screened through this PN program fall within the guidelines set by the CDC-funded National Breast and Cervical Cancer Early Detection Program. In addition, among the women w'ho were recommended to have a core needle biopsy after the diagnostic screening, 132 (81.5%) underwent biopsy within a median of 21 days (interquartile range: 0–221 days) [14]. …”

Section: Mammography Screening Uptakementioning

confidence: 99%

A Community-Based Outreach Navigator Approach to Establishing Partnerships for a Safety Net Mammography Screening Center

Wallington¹,

Oppong

Dash

et al. 2016

J Canc Educ

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Washington, DC, has one of the highest incidence and mortality rates for breast cancer in the USA. Patient navigation coupled with informational and community resources are important strategies that assist patients’ access and help them understand the complex world of cancer care. The Georgetown Lombardi Comprehensive Cancer Center’s Capital Breast Care Center (CBCC) is a safety net mammography screening center that utilizes a community-based navigation program. In addition to providing assistance with coordination of clinical services, navigators at CBCC are integral in establishing intra-community partnerships to educate members of the community about breast cancer screening. The aim of this study was to detail die role of patient navigation at the CBCC, with an emphasis on community engagement and community-based partnerships. We describe tire process by which CBCC established partnerships with multiple community organizations between 2004 and 2015 and analyzed data of women screened in relationship to die evolution of the patient navigation services. Application of the CBCC navigation model that integrates individual patient outreach with community engagement has yielded viable and lasting community partnerships that have resulted in an increase in mammography uptake, especially among medically under-served minority women.

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“…6 This success is to be celebrated. The District of Columbia set a goal of decreasing breast cancer mortality by 10% by 2020 11 A modeling study using data from DC showed that continuing screening at current intervals and ensuring quality treatment is received should help DC meet this goal.…”

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confidence: 98%

“…The article examined the interval to diagnosis after an abnormal mammogram for women receiving patient navigation services through CBCC. 6 Oppong et al found that from 2010 to 2012, just less than 10% of women who received screening mammograms through CBCC were recommended to have additional follow-up; 80% of those who were recommended for follow-up returned for diagnostic imaging within a median of 39 days. Of the 162 women recommended for biopsy, 81.5% received the biopsy within a median of 21 days.…”

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confidence: 99%

“…4 Ensuring quality care along the breast cancer screening continuum as reported by Oppong et al will decrease health disparities noted among black and white women. 6 To ensure quality cancer care, the Center for Medicare and Medicaid created the Oncology Care Model to improve cancer care in clinics and health care systems. 12 A key component of the program is patient navigation that will complement current provider practices to ensure patient access to care when needed.…”

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confidence: 99%

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