Department of Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Department of Critical Care, Howard County General Hospital, Columbia, Maryland.
Am J Prev Med. 2021 Nov;61(5):709-715. doi: 10.1016/j.amepre.2021.04.026. Epub 2021 Jul 4.
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.
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.
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.
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.
This study is registered at www.clinicaltrials.gov NCT04164251.
超过三分之一的住院女性未能按照乳腺癌筛查指南进行筛查，且将近三分之一的女性存在罹患乳腺癌的高风险。本研究旨在评估在这些女性出院前为其协调住院期间乳腺癌筛查乳房 X 光检查的可行性。
本前瞻性干预研究纳入了 101 名年龄在 50-74 岁之间、因普通内科疾病住院的不依从乳腺癌筛查建议的女性。所有患者的社会人口统计学、生殖史、乳腺癌家族史和合并症数据均于 2015 年 1 月至 2016 年 10 月期间收集。数据分析于 2018 年 3 月进行。Fisher 确切检验和配对 t 检验用于比较研究人群的特征。
在 101 名不依从乳腺癌筛查建议的女性中，其平均年龄为 59.3（SD=6）岁，平均 5 年 Gail 风险评分 1.63（SD=0.69），29%的女性为非裔美国人。近 80%（n=79）的女性接受了住院期间的筛查性乳房 X 光检查。所有在住院期间接受乳房 X 光检查的女性对该检查非常满意。住院期间进行筛查的便利性被认为是促使她们完成逾期筛查的主要因素。照顾这些女性的所有护士（100%）均认为这种做法应该成为标准护理的一部分，大多数医院医师（66%）也认为这种做法是可行的。
本研究表明，为逾期和存在罹患乳腺癌高风险的住院女性协调安排乳房 X 光检查是可行的。
本研究在 www.clinicaltrials.gov 上注册，编号为 NCT04164251。
