Patient compliance in mobile screening mammography.

Published

Journal Article

RATIONALE AND OBJECTIVES: We assessed the follow-up behavior of women who had abnormal results of screening mammograms taken on a mobile van. METHODS: A retrospective cohort study was conducted between 1988 and 1991 of all women served by a mobile mammography van in rural North Carolina. Compliance with radiologist recommendations for follow-up was assessed through review of patient records and mail surveys of patients with incomplete records. RESULTS: Compliance was 44% for negative or benign mammograms, 57% for indeterminate mammograms, and 62% for probably malignant or malignant mammograms. Women who had a previous mammogram or had a malignant finding were more likely to comply with follow-up recommendations (p < .0001) than women with normal or benign results and no history of mammography. Compliers and noncompliers did not differ with respect to family history of breast cancer or personal history of breast discomfort. CONCLUSION: Compliance with recommendations in this setting was lower than expected. This may be because rural women using mobile van mammography have limited access to the resources needed for appropriate follow-up. Further research is needed to examine explanations for poor compliance in this setting.

Full Text

Duke Authors

Cited Authors

  • Pisano, ED; Yankaskas, BC; Ghate, SV; Plankey, MW; Morgan, JT

Published Date

  • December 1995

Published In

Volume / Issue

  • 2 / 12

Start / End Page

  • 1067 - 1072

PubMed ID

  • 9419684

Pubmed Central ID

  • 9419684

International Standard Serial Number (ISSN)

  • 1076-6332

Digital Object Identifier (DOI)

  • 10.1016/s1076-6332(05)80517-3

Language

  • eng

Conference Location

  • United States