Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review
| Autor: | Peter Nguyen, Jeanette C. Reece, Jennifer McIntosh, Jonathan D. Emery, Eleanor F. G. Neal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Cancer Research
medicine.medical_specialty Population Breast Neoplasms Cochrane Library lcsh:RC254-282 Abnormal mammogram 03 medical and health sciences Breast cancer screening 0302 clinical medicine Breast cancer Genetics medicine Humans Mass Screening 030212 general & internal medicine education Mass screening Aged education.field_of_study Inadequate follow-up Primary Health Care medicine.diagnostic_test business.industry Middle Aged medicine.disease Primary care lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Critical appraisal Systematic review Oncology 030220 oncology & carcinogenesis Family medicine Female business Follow-Up Studies Mammography Patient education Research Article |
| Zdroj: | BMC Cancer, Vol 21, Iss 1, Pp 1-14 (2021) BMC Cancer |
| ISSN: | 1471-2407 |
| Popis: | BackgroundSuccessful breast cancer screening relies on timely follow-up of abnormal mammograms. Delayed or failure to follow-up abnormal mammograms undermines the potential benefits of screening and is associated with poorer outcomes. However, a comprehensive review of inadequate follow-up of abnormal mammograms in primary care has not previously been reported in the literature. This review could identify modifiable factors that influence follow-up, which if addressed, may lead to improved follow-up and patient outcomes.MethodsA systematic literature review to determine the extent of inadequate follow-up of abnormal screening mammograms in primary care and identify factors impacting on follow-up was conducted. Relevant studies published between 1 January, 1990 and 29 October, 2020 were identified by searching MEDLINE®, Embase, CINAHL® and Cochrane Library, including reference and citation checking. Joanna Briggs Institute Critical Appraisal Checklists were used to assess the risk of bias of included studies according to study design.ResultsEighteen publications reporting on 17 studies met inclusion criteria; 16 quantitative and two qualitative studies. All studies were conducted in the United States, except one study from the Netherlands. Failure to follow-up abnormal screening mammograms within 3 and at 6 months ranged from 7.2–33% and 27.3–71.6%, respectively. Women of ethnic minority and lower education attainment were more likely to have inadequate follow-up. Factors influencing follow-up included physician-patient miscommunication, information overload created by automated alerts, the absence of adequate retrieval systems to access patient’s results and a lack of coordination of patient records. Logistical barriers to follow-up included inconvenient clinic hours and inconsistent primary care providers. Patient navigation and case management with increased patient education and counselling by physicians was demonstrated to improve follow-up.ConclusionsFollow-up of abnormal mammograms in primary care is suboptimal. However, interventions addressing amendable factors that negatively impact on follow-up have the potential to improve follow-up, especially for populations of women at risk of inadequate follow-up. |
| Databáze: | OpenAIRE |
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