Bridging Gaps: Analyzing Breast Imaging-Reporting and Data System (BI-RADS) 0 Rates and Associated Risk Factors in Disproportionally Affected Communities.

Autor:	Roshan MP; Radiology, Florida International University, Herbert Wertheim College of Medicine, Miami, USA., O'Connell R; Internal Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA., Nazarally M; Internal Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA., Rodriguez de la Vega P; Medical and Population Health Sciences Research, Florida International University, Herbert Wertheim College of Medicine, Miami, USA., Bhoite P; Humanities, Health, and Society, Florida International University, Herbert Wertheim College of Medicine, Miami, USA., Bisschops J; Family Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA., Varella M; Medical and Population Health Sciences Research, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jun 01; Vol. 16 (6), pp. e61495. Date of Electronic Publication: 2024 Jun 01 (Print Publication: 2024).
DOI:	10.7759/cureus.61495
Abstrakt:	Introduction Disparities in access to breast cancer screening led to the creation of the Linda Fenner 3D Mobile Mammography Center (LFMMC), successfully increasing screening for uninsured women in Miami-Dade. However, a higher-than-expected rate of inconclusive mammograms (Breast Imaging-Reporting and Data System (BI-RADS) 0) was found, which could lead to unnecessary procedures, stress, costs, and radiation. Methods In this retrospective cross-sectional study, we analyzed data from 3,044 uninsured women aged over 40 (younger if positive family history of breast cancer) from Miami-Dade without breast symptoms or breast cancer history. Women's demographic characteristics, primary language spoken, body mass index (BMI), use of hormone replacement therapy and birth control, history of benign biopsy, breast surgery, family breast cancer, and menopausal status were assessed as potential risk factors for an inconclusive (BI-RADS 0) screening mammogram result. Multivariable logistic regression analyses were used to evaluate associations. Results The average age of women was 51 years (SD = 9); 59% were White, and 30% were African American. The overall frequency of BI-RADS 0 was 35%. Higher odds of BI-RADS 0 were found for women who were younger, single, premenopausal, and with benign biopsy history. Conversely, obesity and breast implant history decreased the odds of BI-RADS 0. Conclusion We found a high frequency of BI-RADS 0 in the LFMMC sample. Potential reasons include a higher risk for breast cancer or a younger sample of women screened. Future research should explore radiologists' reasoning for assigning BI-RADS 0 results and testing alternative screening strategies for younger women. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. FIU Health Sciences Institutional Review Board issued approval IRB-17-0142-AM05. The FIU Health Sciences Institutional Review Board approved this study (# IRB-17-0142-AM05 and Reference # 105438). Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Roshan et al.)
Databáze:	MEDLINE
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