Open AccessIncreased Patient Concern After False‐positive Mammograms
Author(s) -
Barton Mary B.,
Moore Sara,
Polk Sarah,
Shtatland Ernest,
Elmore Joann G.,
Fletcher Suzanne W.
Publication year - 2001
Publication title -
journal of general internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.746
H-Index - 180
eISSN - 1525-1497
pISSN - 0884-8734
DOI - 10.1111/j.1525-1497.2001.00329.x
Subject(s) - medicine , mammography , breast cancer , incidence (geometry) , confidence interval , medical record , ambulatory , obstetrics , gynecology , cancer , radiology , physics , optics
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.