Decreasing the Interval Wait Times for Screening Mammogram Results Using the "Reflex Testing" Algorithm.
J Breast Imaging
; 4(5): 474-479, 2022 Oct 10.
Article
em En
| MEDLINE
| ID: mdl-38416949
ABSTRACT
OBJECTIVE:
The purpose of this analysis was to determine whether our "reflex testing" (RefT) intervention, implemented to address barriers in scheduling, communication, and diagnostic order placement for resolving BI-RADS 0 screening mammograms, resulted in decreased interval wait times (IWT) for patients with abnormal screening mammograms (abSM).METHODS:
All BI-RADS 0 cases over two six-month periods (pre-RefT and post-RefT) were analyzed. Timelines were generated for each BI-RADS 0 case. Elapsed days were computed from date of BI-RADS 0 report to the date of biopsy, additional diagnostic testing, and final resolution. The means of each endpoint within the pre-RefT and post-RefT cohorts were statistically analyzed using Pearson chi-square analysis to assess whether IWT differed significantly after RefT implementation.RESULTS:
The analytic cohort consisted of 1523 BI-RADS 0 cases (n(pre-RefT)â =â 647, n(post-RefT)â =â 876). Reflex testing decreased the overall mean IWT from 23.5 to 8.2 days (Pâ <â 0.001). For patients not requiring biopsy (1190/1523, 78.1%), the mean IWT from the BI-RADS 0 designation to first diagnostic test or resolution decreased from 29.7 to 10.8 days (Pâ <â 0.010). For patients who had biopsy (333/1523, 21.9%), RefT significantly decreased the IWT from BI-RADS 0 to first diagnostic test from 31.4 to 7.7 days (Pâ <â 0.001) and also significantly decreased the IWT from first diagnostic test to biopsy (20.9 to 17.7 days; Pâ <â 0.013).CONCLUSION:
Reflex testing intervention streamlines the workflow and significantly decreases IWT for resolving BI-RADS 0 abSM. The RefT intervention could be considered to improve efficiency at other breast centers.Palavras-chave
Texto completo:
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Bases de dados:
MEDLINE
Assunto principal:
Neoplasias da Mama
/
Listas de Espera
Limite:
Female
/
Humans
Idioma:
En
Revista:
J Breast Imaging
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Estados Unidos