Mammography Adherence: Creation of a Process Change Plan to Increase Usage Rates.
Mammography Adherence: Creation of a Process Change Plan to Increase Usage Rates. Clin J Oncol Nurs. 2019 Jun 01;23(3):281-287 Authors: Smalls TE, Heiney SP, Baliko B, Tavakoli AS Abstract BACKGROUND: Mammography is the optimal tool to mitigate breast cancer morbidity and mortality; however, in many healthcare settings, mammography adherence rates are decreasing. OBJECTIVES: This nurse-led quality improvement project was conducted to improve patient adherence to annual mammography screening. METHODS: Data collection included clinical information from the electronic health record, chart reviews, tracking documentation used by the clinic's social worker, interviews with staff, observation of the clinical setting, creation of a process flow map to identify barriers, and identification of internal and external resources. Strategies to reduce barriers included communication with staff about problems, a streamlined referral process, a scripted message about mammography, an up-front assessment of financial and social barriers to adherence, and an early referral to resources. FINDINGS: A pre-process change chart audit showed a 22% mammography adherence rate. The post-process change rate was 51%, representing a statistically significant difference in adherence. PMID: 31099801 [PubMed - in process]
Date: Thursday, 06 20, 2019; Speaker: Etta Pisano, MD, Professor in Residence of Radiology and PI for TMIST, Harvard Medical School; Worta McCaskill-Stevens, MD, MS, Chief, Community Oncology and Prevention Trails Research Group, Division of Cancer Prevention, NCI; Carolyn D. Runowicz, MD, Executive Associate Dean for Academic Affairs, Professor of OB/GYN, Herbert Wertheim College of Medicine, FIU; Building: Building 45 (Natcher Building); Conference Room A/B; CME Credit; Videocast Event
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The Tomosynthesis Mammographic Imaging Screening Trial (TMIST) is a randomized breast screening trial that will help researchers learn about the best ways to find breast cancer in women who have no symptoms. It compares two Food and Drug Administration-approved types of digital mammography: standard digital mammography (2-D) with a newer technology called tomosynthesis mammography (3-D). Researchers are doing this trial because they do not know if 3-D mammography is better than 2-D mammography for breast cancer screening.For more information go tohttps://orwh.od.nih.gov/Air date: 6/20/2019 1:00:00 PM
Condition: Breast Cancer Intervention: Diagnostic Test: Mammography outside official screening Sponsors: Tartu University Hospital; University of Tartu; North Estonia Medical Centre Recruiting
AbstractPatients with breast cancer desire to avoid chemotherapy-induced alopecia because it induces mental stress during treatment. Scalp cooling can suppress chemotherapy-induced alopecia without increasing the risk of scalp metastasis; however, in certain cases, alopecia cannot be prevented. The use of properly fitted scalp cooling caps has not yet been explored in Asian patients. Here, we report a case of hair regrowth using a properly fitted scalp cooling cap during adjuvant chemotherapy for breast cancer. A 51-year-old Japanese woman who was recalled by screening mammography for grouped amorphous calcifications and a...
ConclusionTOL methodology allowed effective training of both groups of readers. The iterative nature of individual training ensured production of user-friendly materials including frequently-asked-questions sheets. It allowed for each person to feel that their views were fully listened to and incorporated into the training package, allowing for training materials with high face validity.
This study could be beneficial for: (i) Clinicians to receive second opinion from the CAD system for early diagnosis, and (ii) Researchers to analyze and enhance the existing state-of-art techniques used in CAD system, which may further reduce the gap of variability between intra and inter observer.Graphical abstract
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Conclusions: Contrast-enhanced mammography evaluated by non-experienced high school students might improve detection rate of breast cancer when compared to evaluations of only full-field digital mammography by radiologists.
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