Format

Send to

Choose Destination
See comment in PubMed Commons below
J Gen Intern Med. 2001 Mar;16(3):150-6.

Increased patient concern after false-positive mammograms: clinician documentation and subsequent ambulatory visits.

Author information

1
Harvard Pilgrim Health Care and Harvard Medical School, Boston, Mass, USA. mary_barton@hms.harvard.edu

Abstract

OBJECTIVE:

To measure how often a breast-related concern was documented in medical records after screening mammography according to the mammogram result (normal, or true-negative vs false-positive) and to measure changes in health care utilization in the year after the mammogram.

DESIGN:

Cohort study.

SETTING:

Large health maintenance organization in New England.

PATIENTS:

Group of 496 women with false-positive screening mammograms and a comparison group of 496 women with normal screening mammograms, matched for location and year of mammogram.

MEASUREMENTS AND MAIN RESULTS:

1) Documentation in clinicians' notes of patient concern about the breast and 2) ambulatory health care utilization, both breast-related and non-breast-related, in the year after the mammogram. Fifty (10%) of 496 women with false-positive mammograms had documentation of breast-related concern during the 12 months after the mammogram, compared to 1 (0.2%) woman with a normal mammogram (P =.001). Documented concern increased with the intensity of recommended follow-up (P =.009). Subsequent ambulatory visits, not related to the screening mammogram, increased in the year after the mammogram among women with false-positive mammograms, both in terms of breast-related visits (incidence ratio, 3.07; 95% confidence interval [CI], 1.69 to 5.93) and non-breast-related visits (incidence ratio, 1.14; 95% CI, 1.03 to 1.25).

CONCLUSIONS:

Clinicians document concern about breast cancer in 10% of women who have false-positive mammograms, and subsequent use of health care services are increased among women with false-positive mammogram results.

Comment in

PMID:
11318909
PMCID:
PMC1495181
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Support Center