Johns Hopkins University School of Medicine, Baltimore, Maryland.
Breast Imaging Fellowship Director, Johns Hopkins University School of Medicine, Baltimore, Maryland; President, Maryland Radiological Society.
J Am Coll Radiol. 2024 Oct;21(10):1657-1667. doi: 10.1016/j.jacr.2024.04.029. Epub 2024 May 24.
To characterize the patient population using weekend and evening appointments for screening mammography versus standard appointment times across four outpatient facilities in our academic health system.
In this institutional review board-approved retrospective cohort study, there were 203,101 screening mammograms from 67,323 patients who had a screening mammogram performed at outpatient centers at a multisite academic institution from January 1, 2015, to December 31, 2022. Screening appointments were defined as "standard appointment time" (between 8 am and 5 pm on Monday through Friday) or "weekend or evening appointment time" (scheduled after 5 pm on Monday through Friday or at any time on a Saturday or Sunday). Associations between appointment group and patient characteristics were analyzed using univariate and multivariate logistic regression.
Most screening mammograms (n = 185,436, 91.3%) were performed at standard times. The remainder (n = 17,665, 8.7%) were performed during weekends or evenings. As we created additional weekend and evening appointments after the coronavirus disease 2019 pandemic, the annual percentage of all screening mammograms performed on evenings and weekends increased. On multivariate analysis, when compared with standard appointment times, we found that patients who were younger than age 50 (P < .001), a race other than non-Hispanic White (P < .001), non-English speakers (P < .001), and from less advantaged zip codes (P < .03) were more likely to use weekend and evening appointment times compared with those aged 70 and above, non-Hispanic White patients, English speakers, and those from the most advantaged zip codes.
Weekend and evening appointment availability for screening mammograms might improve screening access for all patients, particularly for those younger than age 50, those of races other than non-Hispanic White, and those from less advantaged zip codes.
描述在我们学术医疗系统的四家门诊机构中，使用周末和晚间预约进行筛查性乳房 X 光检查的患者人群特征，与标准预约时间相比。
在这项经机构审查委员会批准的回顾性队列研究中，从 2015 年 1 月 1 日至 2022 年 12 月 31 日，在一家多地点学术机构的门诊中心进行了 203,101 次筛查性乳房 X 光检查，涉及 67,323 名患者。筛查预约定义为“标准预约时间”（周一至周五上午 8 点至下午 5 点之间）或“周末或晚间预约时间”（安排在周一至周五下午 5 点之后或周六或周日的任何时间）。使用单变量和多变量逻辑回归分析预约组与患者特征之间的关联。
大多数筛查性乳房 X 光检查（n=185,436，91.3%）在标准时间进行。其余（n=17,665，8.7%）在周末或晚上进行。在 2019 年冠状病毒病大流行之后，我们增加了更多的周末和晚间预约，因此所有筛查性乳房 X 光检查中在晚上和周末进行的比例增加。在多变量分析中，与标准预约时间相比，我们发现年龄小于 50 岁的患者（P<0.001）、非非裔美国人（P<0.001）、非英语为母语者（P<0.001）和来自收入较低的邮政编码（P<0.03）的患者更有可能使用周末和晚间预约时间，而不是年龄在 70 岁及以上、非非裔美国人、英语为母语者和来自收入最高的邮政编码的患者。
筛查性乳房 X 光检查周末和晚间预约的可用性可能会改善所有患者的筛查机会，特别是年龄在 50 岁以下、非非裔美国人以及来自收入较低的邮政编码的患者。
