Surgical Oncology, Legacy Health, Portland, OR, USA.
Department of Surgery, Bellingham Regional Breast Center, University of Washington, Bellingham, WA, USA.
Ann Surg Oncol. 2023 Oct;30(10):6070-6078. doi: 10.1245/s10434-023-13905-6. Epub 2023 Aug 1.
The literature lacks well-established benchmarks for expected time between screening mammogram to diagnostic imaging and then to core needle breast biopsy.
Timeliness of diagnostic imaging workup was evaluated using aggregate data from 2005 to 2019 submitted to The National Quality Measures for Breast Centers (NQMBC).
A total of 419 breast centers submitted data for 1,805,515 patients on the time from screening mammogram to diagnostic imaging. The overall time was 7 days with 75th, 25th, and 10th percentile values of 5, 10, and 13.5 days, respectively. The average time in business days decreased from 9.1 to 7.1 days (p < 0.001) over the study period with the greatest gains in poorest-performing quartiles. Screening centers and centers in the Midwest had significantly shorter time to diagnostic imaging. Time from diagnostic imaging to core needle biopsy was submitted by 406 facilities representing 386,077 patients. The average time was 6 business days, with 75th, 25th, and 10th percentiles of 4, 9, and 13.7 days, respectively. Time to biopsy improved from a mean of 9.0 to 6.3 days (p < 0.001) with the most improvement in the poorest-performing quartiles. Screening centers, centers in the Midwest, and centers in metropolitan areas had significantly shorter time to biopsy.
In a robust dataset, the time from screening mammogram to diagnostic imaging and from diagnostic imaging to biopsy decreased from 2005 to 2019. On average, patients could expect to have diagnostic imaging and biopsies within 1 week of abnormal results. Monitoring and comparing performance with reported data may improve quality in breast care.
文献中缺乏明确的基准，用于确定从筛查乳房 X 光检查到诊断影像学检查，再到核心针活检的预期时间。
使用 2005 年至 2019 年提交给国家乳房中心质量指标（NQMBC）的汇总数据评估诊断影像学检查的及时性。
共有 419 家乳房中心为 1805515 名患者提交了从筛查乳房 X 光检查到诊断影像学检查的时间数据。总体时间为 7 天，第 75、25 和 10 百分位数的值分别为 5、10 和 13.5 天。在研究期间，营业日的平均时间从 9.1 天减少到 7.1 天（p<0.001），表现最差的四分位数的收益最大。筛查中心和中西部中心的诊断影像学时间更短。406 家机构提交了从诊断影像学检查到核心针活检的时间数据，代表 386077 名患者。平均时间为 6 个工作日，第 75、25 和 10 百分位数的值分别为 4、9 和 13.7 天。从诊断影像学检查到活检的时间从平均 9.0 天缩短到 6.3 天（p<0.001），表现最差的四分位数的改善最大。筛查中心、中西部中心和大都市地区的中心的活检时间更短。
在一个强大的数据集，从筛查乳房 X 光检查到诊断影像学检查，从诊断影像学检查到活检的时间从 2005 年到 2019 年减少。平均而言，患者可以期望在异常结果后的 1 周内进行诊断影像学检查和活检。监测和比较与报告数据的表现可能会提高乳房护理的质量。
