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dc.contributor.authorAmornsiripanitch, Nita
dc.contributor.authorAmeri, Sarah M.
dc.contributor.authorGoldberg, Robert J.
dc.date2022-08-11T08:08:24.000
dc.date.accessioned2022-08-23T15:54:08Z
dc.date.available2022-08-23T15:54:08Z
dc.date.issued2020-05-17
dc.date.submitted2020-07-16
dc.identifier.citation<p>Amornsiripanitch N, Ameri SM, Goldberg RJ. Primary Care Providers Underutilize Breast Screening MRI for High-Risk Women. Curr Probl Diagn Radiol. 2020 May 17:S0363-0188(20)30103-1. doi: 10.1067/j.cpradiol.2020.04.008. Epub ahead of print. PMID: 32546344. <a href="https://doi.org/10.1067/j.cpradiol.2020.04.008">Link to article on publisher's site</a></p>
dc.identifier.issn0363-0188 (Linking)
dc.identifier.doi10.1067/j.cpradiol.2020.04.008
dc.identifier.pmid32546344
dc.identifier.urihttp://hdl.handle.net/20.500.14038/29489
dc.description.abstractOBJECTIVE: Supplemental MRI screening for women at high risk for breast cancer is underutilized. Our study assessed how primary care providers in our healthcare network identify high-risk women and recommend high-risk screening breast MRI. METHODS: An electronic survey was distributed to providers in OB/GYN, family, and internal medicine departments between 1/14/19 and 3/22/19. The survey inquired about methods used to assess breast cancer risk, familiarity with the American Cancer Society's definition of high-risk, and whether screening breast MRI is recommended for high-risk women. RESULTS: Response rate was 17% (89/524). After excluding providers who ordered < /=10 mammograms per year, the study included 75 respondents, who mostly ordered 10-1000 mammograms per year and supported annual/biennial screening mammogram starting at age 40-50 years. More providers reported estimating breast cancer risk qualitatively (with family, clinical history, and/or breast density) than quantitatively with risk calculators (73/75, 97% vs 22/75, 29%). A minority of providers (23/75, 31%) correctly defined high lifetime risk. Only 9/75 (12%) providers recommended screening MRI for high-risk women. Use of quantitative risk calculators or ability to correctly define high-risk were not associated with likelihood of recommending MRI screening. More providers had recommended MRI for screening in the setting of dense breasts than for high-risk screening (23/75, 31% vs 9/75, 12%). CONCLUSION: Primary care providers at our institution did not routinely recommend screening MRI for high-risk women. Risk assessment and reporting at the time of mammography may improve MRI utilization and is an opportunity for radiologists to add value and directly participate in patient-centered care.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=32546344&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1067/j.cpradiol.2020.04.008
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectNeoplasms
dc.subjectPreventive Medicine
dc.subjectPrimary Care
dc.subjectRadiology
dc.subjectWomen's Health
dc.titlePrimary Care Providers Underutilize Breast Screening MRI for High-Risk Women
dc.typeJournal Article
dc.source.journaltitleCurrent problems in diagnostic radiology
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/1712
dc.identifier.contextkey18546360
html.description.abstract<p>OBJECTIVE: Supplemental MRI screening for women at high risk for breast cancer is underutilized. Our study assessed how primary care providers in our healthcare network identify high-risk women and recommend high-risk screening breast MRI.</p> <p>METHODS: An electronic survey was distributed to providers in OB/GYN, family, and internal medicine departments between 1/14/19 and 3/22/19. The survey inquired about methods used to assess breast cancer risk, familiarity with the American Cancer Society's definition of high-risk, and whether screening breast MRI is recommended for high-risk women.</p> <p>RESULTS: Response rate was 17% (89/524). After excluding providers who ordered < /=10 mammograms per year, the study included 75 respondents, who mostly ordered 10-1000 mammograms per year and supported annual/biennial screening mammogram starting at age 40-50 years. More providers reported estimating breast cancer risk qualitatively (with family, clinical history, and/or breast density) than quantitatively with risk calculators (73/75, 97% vs 22/75, 29%). A minority of providers (23/75, 31%) correctly defined high lifetime risk. Only 9/75 (12%) providers recommended screening MRI for high-risk women. Use of quantitative risk calculators or ability to correctly define high-risk were not associated with likelihood of recommending MRI screening. More providers had recommended MRI for screening in the setting of dense breasts than for high-risk screening (23/75, 31% vs 9/75, 12%).</p> <p>CONCLUSION: Primary care providers at our institution did not routinely recommend screening MRI for high-risk women. Risk assessment and reporting at the time of mammography may improve MRI utilization and is an opportunity for radiologists to add value and directly participate in patient-centered care.</p>
dc.identifier.submissionpathfaculty_pubs/1712
dc.contributor.departmentDepartment of Population and Quantitative Health Sciences
dc.contributor.departmentSchool of Medicine
dc.contributor.departmentDepartment of Radiology


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