ARRS 2022 Abstracts

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E1235. To Wait or Not to Wait: Analysis of Demographic Differences in an Online Breast Imaging Screening Center
Authors
  1. Celia Tong; University of Pennsylvania
  2. Donal Roche; Royal College of Surgeons
  3. Dayna Levin; University of Pennsylvania
  4. Brian Englander; University of Pennsylvania
Objective:
To evaluate whether demographic or socioeconomic factors play a role in whether patients opt for same-day mammography screening results.

Materials and Methods:
A retrospective study was performed to evaluate all screening mammograms performed at an online breast imaging center between 1/01/2019 and 6/30/2019. A QI waiver was approved through the IRB. The electronic medical record system was queried for screening mammograms carried out between these dates. The anonymized data collected included patient age, race, and insurance type. Patients that had missing information were excluded. The data was sorted based on order priority, with ‘STAT’ for those who wanted results same-day and ‘Routine’ for those who did not. Those who opted to leave were made aware that results would be available within 24 hours through an online patient portal or mailed if not accessed within 7 days. This data was analyzed using a multivariable chi-squared analysis of three categories (age, race, and insurance type). Categorizations were employed to identify groups that are traditionally considered ‘underserved’ and compare against the ‘majority’ group.

Results:
A total of 7028 screening mammograms were carried out during this period and included in this study. In total, approximately 68% of the total patients who presented for screening mammograms opted to receive results the same-day (STAT) vs. 32% who opted to wait (Routine). Those between the ages of 70 and 79 years were more likely to stay for same-day results (residual = 2.98), while those between the ages of 40 and 49 years were the least likely (residual = –4.00). For race, there was a statistically significant difference (p < 0.5) for whether patients opted to stay for same-day results between those who identified as White (70.1%) and non-White (65.1%). For insurance, 61.4% of those with Medicaid (residual = -4.92) and 78.5% of those with private or Medicare insurance (residual = 1.43) opted to stay for same-day results.

Conclusion:
Age, race, and insurance type correlate to whether or not a patient chooses to stay for same-day screening mammograms.