As mammography use increases, are some providers omitting clinical breast examination
Burns, Risa B. Freund, Karen M. Ash, Arlene S. Shwartz, Michael Antab, Lisa Hall, Ruth E.
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Abstract
OBJECTIVE: To explore use of clinical breast examination (CBE) among women receiving mammography.
METHODS: A retrospective cohort analysis of 100 women aged 50 years or older with at least one bilateral mammogram. Chart review documented demographic information, severity of illness, and performance of CBE (from 1 year prior to 18 months after the mammogram).
RESULTS: The mean age of the 100 women was 63 years. They were predominantly unmarried (60%), nonwhite (58%), and not currently employed (57%). Three quarters (76%) had mammography and CBE (comprehensive screening), while the remaining 24% had mammography only. Sociodemographic factors did not differ for women with and without comprehensive screening (P>.1). However, patients of female providers were more likely to receive comprehensive screening than patients of male providers. Specifically, 95% of women seen by female attending physicians or fellows had comprehensive screening vs 67% for male attending physicians or fellows and 61% for residents (P=.008).
CONCLUSIONS: Mammography may be replacing CBE especially among patients of male providers. Interventions targeted to these providers could help improve the use of CBE and mammography.
Source
Arch Intern Med. 1996 Apr 8;156(7):741-4. Link to article on publisher's site