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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Article Info
Publication History
Published online: July 04, 2021
Identification
Copyright
© 2021 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
