Article ; Online: Utility of short-interval follow-up mammography after a benign-concordant stereotactic breast biopsy result.
2018 Volume 42, Page(s) 50–53
Abstract: Background: There is currently no clear consensus recommendation for the use of short-interval follow-up mammography after a benign-concordant breast biopsy (BCBB), and practice patterns vary widely. The objectives of this study were to evaluate whether ...
| Abstract | Background: There is currently no clear consensus recommendation for the use of short-interval follow-up mammography after a benign-concordant breast biopsy (BCBB), and practice patterns vary widely. The objectives of this study were to evaluate whether a short-interval follow-up mammogram provided clinical utility after stereotactic BCBB and to examine the costs associated with this surveillance strategy. Methods: A retrospective review of women who underwent a stereotactic breast biopsy yielding benign-concordant results between January 2005 and October 2014 was performed to evaluate findings on subsequent imaging, to calculate compliance with recommended short-interval imaging, and to examine whether subsequent imaging revealed an abnormality at the site of the initial stereotactic BCBB. A cost analysis was performed utilizing Medicare reimbursement rates to calculate projected and actual costs of short-interval follow-up imaging after stereotactic BCBB. Results: Of the 470 stereotactic BCBB performed, a short-interval mammogram was completed in 207 (44.0%), 9 (4.3%) of which had suspicious mammographic findings at the initial biopsy site, and 6 subsequently underwent biopsy, with none resulting in malignant or high-risk pathology. The cost of short-interval mammographic follow-up (n = 207) was calculated at $28,541.16. Conclusions: This study provides evidence that 6-month follow-up mammography has low clinical utility and unnecessarily increases costs after stereotactic BCBB. A safe and more cost-effective strategy may be resumption of routine mammography at 12 months post-biopsy. |
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| MeSH term(s) | Adult ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/economics ; Breast Neoplasms/pathology ; Breast Neoplasms/surgery ; Early Detection of Cancer/economics ; Early Detection of Cancer/statistics & numerical data ; Female ; Follow-Up Studies ; Humans ; Image-Guided Biopsy/economics ; Image-Guided Biopsy/statistics & numerical data ; Mammography/economics ; Mammography/statistics & numerical data ; Middle Aged ; Neoplasm Staging ; Prognosis ; Retrospective Studies | ||||||||||
| Language | English | ||||||||||
| Publishing date | 2018-08-23 | ||||||||||
| Publishing country | Netherlands | ||||||||||
| Document type | Journal Article | ||||||||||
| ZDB-ID | 1143210-x | ||||||||||
| ISSN | 1532-3080 ; 0960-9776 | ||||||||||
| ISSN (online) | 1532-3080 | ||||||||||
| ISSN | 0960-9776 | ||||||||||
| DOI | 10.1016/j.breast.2018.08.101 | ||||||||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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