TY - JOUR
T1 - Capturing the Rest
T2 - Inpatient Mammography for Nonadherent Hospitalized Women
AU - Khaliq, Waseem
AU - Siferd, Colleen
AU - Kantsiper, Melinda E.
AU - Jacobs, Lisa
AU - Howell, Eric E
AU - Wright, Scott M.
N1 - Funding Information:
SCW is the Anne Gaines and G. Thomas Miller Professor of Medicine and is supported through the Center for Innovative Medicine, The Johns Hopkins University. This work was made possible in part by the Maryland Cigarette Restitution Fund Research Grant at Johns Hopkins and EQUIP (Excellence in Quality, Utilization of resources, Integration and Patient-centered Care), a Hopkins-wide initiative in collaboration with the Armstrong Institute of Patient Safety and Quality.
Funding Information:
SCW is the Anne Gaines and G. Thomas Miller Professor of Medicine and is supported through the Center for Innovative Medicine, The Johns Hopkins University. This work was made possible in part by the Maryland Cigarette Restitution Fund Research Grant at Johns Hopkins and EQUIP (Excellence in Quality, Utilization of resources, Integration and Patient-centered Care), a Hopkins-wide initiative in collaboration with the Armstrong Institute of Patient Safety and Quality. No financial disclosures were reported by the authors of this paper.
Publisher Copyright:
© 2021 American Journal of Preventive Medicine
PY - 2021/11
Y1 - 2021/11
N2 - Introduction: More than a third of hospitalized women are overdue or nonadherent to breast cancer screening guidelines, and almost a third of them are also at high risk for developing breast cancer. The purpose of this study is to evaluate the feasibility of coordinating inpatient breast cancer screening mammography for these women before their discharge from the hospital. Methods: A prospective intervention study was conducted among 101 nonadherent women aged 50–74 years who were hospitalized to a general medicine service. Sociodemographic, reproductive history, family history of breast cancer, and medical comorbidities data were collected for all patients from January 2015 to October 2016. The data were analyzed in March 2018. Fisher's exact tests and unpaired t-tests were utilized to compare the characteristics of the study population. Results: Of the 101 women enrolled who were nonadherent to breast cancer screening recommendations, their mean age was 59.3 (SD=6) years, the mean 5-year Gail risk score was 1.63 (SD=0.69), and 29% of the women were African American. Almost 80% (n=79) underwent inpatient screening mammography. All women who underwent screening mammography during their inpatient stay were extremely satisfied with the experience. The convenience of having screening mammography while hospitalized was reported to be a major facilitator of completing the overdue screening. All nurses (100%) taking care of these women believed that this practice should become part of the standard of care, and most hospitalist physicians (66%) agreed that this practice is feasible. Conclusions: This study shows that it is possible to coordinate mammography for hospitalized women who were overdue for screening and at high risk for developing breast cancer. Trial registration: This study is registered at www.clinicaltrials.gov NCT04164251.
AB - Introduction: More than a third of hospitalized women are overdue or nonadherent to breast cancer screening guidelines, and almost a third of them are also at high risk for developing breast cancer. The purpose of this study is to evaluate the feasibility of coordinating inpatient breast cancer screening mammography for these women before their discharge from the hospital. Methods: A prospective intervention study was conducted among 101 nonadherent women aged 50–74 years who were hospitalized to a general medicine service. Sociodemographic, reproductive history, family history of breast cancer, and medical comorbidities data were collected for all patients from January 2015 to October 2016. The data were analyzed in March 2018. Fisher's exact tests and unpaired t-tests were utilized to compare the characteristics of the study population. Results: Of the 101 women enrolled who were nonadherent to breast cancer screening recommendations, their mean age was 59.3 (SD=6) years, the mean 5-year Gail risk score was 1.63 (SD=0.69), and 29% of the women were African American. Almost 80% (n=79) underwent inpatient screening mammography. All women who underwent screening mammography during their inpatient stay were extremely satisfied with the experience. The convenience of having screening mammography while hospitalized was reported to be a major facilitator of completing the overdue screening. All nurses (100%) taking care of these women believed that this practice should become part of the standard of care, and most hospitalist physicians (66%) agreed that this practice is feasible. Conclusions: This study shows that it is possible to coordinate mammography for hospitalized women who were overdue for screening and at high risk for developing breast cancer. Trial registration: This study is registered at www.clinicaltrials.gov NCT04164251.
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U2 - 10.1016/j.amepre.2021.04.026
DO - 10.1016/j.amepre.2021.04.026
M3 - Article
C2 - 34229929
AN - SCOPUS:85109075722
SN - 0749-3797
VL - 61
SP - 709
EP - 715
JO - American journal of preventive medicine
JF - American journal of preventive medicine
IS - 5
ER -