Surgical outcomes of a breast cancer-screening program for low-income women

Ricardo Jimenez-Lee, Selene G. Oslak, Katrina Hedberg, John Vetto, Charles P. Theuer, William P. Schecter, Lawrence D. Wagman, Maria D. Allo

    Research output: Contribution to journalArticle

    8 Citations (Scopus)

    Abstract

    Hypothesis: Surgical outcomes from a breast cancer-screening program of low-income women are similar to those of other screening programs. Design: Prospective cohort. Setting: Federally funded screening program. Patients: A total of 15 730 women. Interventions: A total of 23149 mammograms, 20396 with concomitant clinical breast examination, from January 1, 1997, through December 31, 2001. Outcome Measures: American College of Radiology scores; associated surgery consultations, biopsies, operations, and pathology results. Results: Most (20 868) of the 21296 mammograms assigned an American College of Radiology score were benign; only 428 (2%) were suspicious. Resulting from suspicious clinical breast examinations, the group with American College of Radiology scores of 1 to 3 accounted for 45%, 18%, and 10% of recommended surgical consultations, biopsies, and cancers detected, respectively. A rate of 12.3 cancers per 1000 women was found, greater than with other screening programs. Compliance with therapy was 97%. Conclusions: This screening program had a higher rate of advanced cancers. Clinical breast examination was an important component, and compliance with surgical recommendations was excellent.

    Original languageEnglish (US)
    Pages (from-to)884-890
    Number of pages7
    JournalArchives of Surgery
    Volume138
    Issue number8
    DOIs
    StatePublished - Aug 1 2003

    Fingerprint

    Early Detection of Cancer
    Radiology
    Breast
    Breast Neoplasms
    Referral and Consultation
    Biopsy
    Neoplasms
    Outcome Assessment (Health Care)
    Pathology
    Therapeutics

    ASJC Scopus subject areas

    • Surgery

    Cite this

    Jimenez-Lee, R., Oslak, S. G., Hedberg, K., Vetto, J., Theuer, C. P., Schecter, W. P., ... Allo, M. D. (2003). Surgical outcomes of a breast cancer-screening program for low-income women. Archives of Surgery, 138(8), 884-890. https://doi.org/10.1001/archsurg.138.8.884

    Surgical outcomes of a breast cancer-screening program for low-income women. / Jimenez-Lee, Ricardo; Oslak, Selene G.; Hedberg, Katrina; Vetto, John; Theuer, Charles P.; Schecter, William P.; Wagman, Lawrence D.; Allo, Maria D.

    In: Archives of Surgery, Vol. 138, No. 8, 01.08.2003, p. 884-890.

    Research output: Contribution to journalArticle

    Jimenez-Lee, R, Oslak, SG, Hedberg, K, Vetto, J, Theuer, CP, Schecter, WP, Wagman, LD & Allo, MD 2003, 'Surgical outcomes of a breast cancer-screening program for low-income women', Archives of Surgery, vol. 138, no. 8, pp. 884-890. https://doi.org/10.1001/archsurg.138.8.884
    Jimenez-Lee R, Oslak SG, Hedberg K, Vetto J, Theuer CP, Schecter WP et al. Surgical outcomes of a breast cancer-screening program for low-income women. Archives of Surgery. 2003 Aug 1;138(8):884-890. https://doi.org/10.1001/archsurg.138.8.884
    Jimenez-Lee, Ricardo ; Oslak, Selene G. ; Hedberg, Katrina ; Vetto, John ; Theuer, Charles P. ; Schecter, William P. ; Wagman, Lawrence D. ; Allo, Maria D. / Surgical outcomes of a breast cancer-screening program for low-income women. In: Archives of Surgery. 2003 ; Vol. 138, No. 8. pp. 884-890.
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