Cardenosa G, Eklund G W
Susan G. Komen Breast Center, St Francis Medical Center, Peoria, IL.
Radiology. 1991 Nov;181(2):359-61. doi: 10.1148/radiology.181.2.1924772.
All recommendations for immediate additional studies and biopsies following routine mammography during a 6-month period were reviewed retrospectively to establish compliance rates and determine the time intervals for completion of the recommendations. During this period, 5,693 mammograms were obtained. Additional mammographic studies and biopsies were recommended for 364 (6.4%) and 180 (3.2%) of all patients, respectively. The compliance rates were 99.7% (n = 363) for additional studies and 98.9% (n = 178) for biopsies. Additional studies and biopsies were completed within 30 days of the recommendations in 98.4% (n = 358) and 91.7% (n = 165) of the patients, respectively. Compliance with recommendations for additional studies within relatively short periods can be maximized by having the mammographic facility schedule examinations directly with the patients. Compliance with biopsy recommendations can be optimized by directly contacting the referring physician. Follow-up written reports should specifically state that a biopsy is recommended and that this has been discussed directly with the referring physician.
回顾性审查了在6个月期间常规乳房X线摄影后立即进行额外检查和活检的所有建议，以确定符合率并确定完成这些建议的时间间隔。在此期间，共进行了5693次乳房X线摄影。分别对所有患者中的364例（6.4%）和180例（3.2%）建议进行额外的乳房X线摄影检查和活检。额外检查的符合率为99.7%（n = 363），活检的符合率为98.9%（n = 178）。分别有98.4%（n = 358）和91.7%（n = 165）的患者在建议发出后的30天内完成了额外检查和活检。通过让乳房X线摄影机构直接与患者安排检查，可以在相对较短的时间内最大限度地提高对额外检查建议的依从性。通过直接联系转诊医生，可以优化对活检建议的依从性。随访书面报告应明确指出建议进行活检，并已直接与转诊医生进行了讨论。
