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Mammography utilization after a benign breast biopsy among hispanic and non‐Hispanic women
Author(s) -
Stidley Christine A.,
Tollestrup Kristine,
Frost Floyd,
Bedrick Edward J.,
Petersen Hans V.
Publication year - 2001
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(20010501)91:9<1716::aid-cncr1189>3.0.co;2-0
Subject(s) - medicine , biopsy , mammography , breast biopsy , breast cancer , obstetrics , breast disease , breast cancer screening , gynecology , cancer , radiology
BACKGROUND In spite of the effectiveness of mammography screening for early detection of breast carcinoma, the use of screening mammography varies widely across racial and ethnic groups. Recently, concerns have been raised about the potential adverse effect a benign breast biopsy may have on subsequent mammography utilization, including subsequent use among minority women. METHODS Computerized health care claims data for 1991 through 1997 from a managed care organization were used to compare mammography use among Hispanic and non‐Hispanic women who had had a mammogram followed by an incisional or excisional benign breast biopsy to women who had had a mammogram and no biopsy. Through survival analysis methods, the time‐to‐next mammogram was compared among these three groups. RESULTS The sample included 693 (3.2%) and 289 (1.3%) women who had had a mammogram followed by an incisional biopsy or an excisional biopsy, respectively, and 20,540 (95.4%) women who had had a mammogram and no biopsy. Both Hispanic and non‐Hispanic women with a biopsy returned sooner for subsequent mammograms than women without a biopsy ( P < 0.0001). Hispanic women without a biopsy returned later than non‐Hispanic women without a biopsy ( P < 0.0001). However, Hispanic women with an excisional biopsy returned sooner than non‐Hispanic women ( P < 0.05). CONCLUSIONS Within a managed care organization, both Hispanic and non‐Hispanic women who had had a mammogram followed by a benign breast biopsy returned sooner for a subsequent mammogram than women who had had a mammogram and no biopsy. However, ethnic differences in time‐to‐next mammogram were observed for women without a biopsy and those with an excisional biopsy. Hispanic women without a biopsy returned later for a subsequent mammogram than non‐Hispanic women in similar groups, but those with an excisional biopsy returned sooner. Cancer 2001;91:1716–23. © 2001 American Cancer Society.