Pisano E D, Yankaskas B C, Ghate S V, Plankey M W, Morgan J T
Department of Radiology, University of North Carolina School of Medicine, Chapel Hill, USA.
Acad Radiol. 1995 Dec;2(12):1067-72. doi: 10.1016/s1076-6332(05)80517-3.
We assessed the follow-up behavior of women who had abnormal results of screening mammograms taken on a mobile van.
A retrospective cohort study was conducted between 1988 and 1991 of all women served by a mobile mammography van in rural North Carolina. Compliance with radiologist recommendations for follow-up was assessed through review of patient records and mail surveys of patients with incomplete records.
Compliance was 44% for negative or benign mammograms, 57% for indeterminate mammograms, and 62% for probably malignant or malignant mammograms. Women who had a previous mammogram or had a malignant finding were more likely to comply with follow-up recommendations (p < .0001) than women with normal or benign results and no history of mammography. Compliers and noncompliers did not differ with respect to family history of breast cancer or personal history of breast discomfort.
Compliance with recommendations in this setting was lower than expected. This may be because rural women using mobile van mammography have limited access to the resources needed for appropriate follow-up. Further research is needed to examine explanations for poor compliance in this setting.
我们评估了在流动车上进行的乳腺钼靶筛查结果异常的女性的后续行为。
1988年至1991年间，对北卡罗来纳州农村地区一辆流动乳腺钼靶车服务的所有女性进行了一项回顾性队列研究。通过查阅患者记录以及对记录不完整的患者进行邮件调查，评估患者对放射科医生后续检查建议的依从性。
乳腺钼靶检查结果为阴性或良性的女性的依从率为44%，结果不确定的女性为57%，可能恶性或恶性的女性为62%。与检查结果正常或良性且无乳腺钼靶检查史的女性相比，之前做过乳腺钼靶检查或有恶性发现的女性更有可能遵循后续检查建议（p <.0001）。在乳腺癌家族史或乳腺不适个人史方面，依从者和不依从者没有差异。
在这种情况下，对建议的依从性低于预期。这可能是因为使用流动车进行乳腺钼靶检查的农村女性获得适当后续检查所需资源的机会有限。需要进一步研究以探讨这种情况下依从性差的原因。
