1838. Feasibility of Mammography Screening Outreach Through Urgent Care Centers, Emergency Rooms, and Inpatient Hospitalizations: Cross-Sectional
Authors* Denotes Presenting Author
Johanna Poterala;
University of Wisconsin, School of Medicine and Public Health
Anand Narayan *;
University of Wisconsin, School of Medicine and Public Health
Randy Miles;
Massachusetts General Hospital
Edward Stanley;
American University of the Caribbean School of Medicine
Objective:
Outreach efforts to improve mammography screening often rely on fostering collaborations with primary care providers, however, lack of access to primary care providers represents one of the most important risk factors for not being up to date with recommended breast cancer screening. We estimated the proportion of patients visiting urgent care centers, emergency departments, or being hospitalized who were not up to date with recommended mammography screening to assess the potential impact of nonprimary care-based cancer screening interventions.
Materials and Methods:
Adult participants from the 2019 National Health Interview Survey were included. Among participants who did not report under non-adherent to breast cancer screening guidelines based on American College of Radiology recommendations, the proportion of patients reporting an ED visit within the last year was estimated accounting for complex survey sampling design features. Multiple variable logistic regression analyses were then conducted to evaluate the association between sociodemographic characteristics and screening adherence.
Results:
A total of 9,139 women between the ages of 40 – 74 years old without history of breast cancer were included. 44.9% of participants did not report mammography screening within the last year. Among participants who did not report mammography screening within the last year, 29.3% reported visiting an urgent care center (30.2% of white participants, 29.0% of Hispanic participants, 33.9% of Other Race, 28.0% of Black, 22.8% of Asian, and 26.5% of American Indian participants). Among participants who did not report mammography screening within the last year, 22.9% reported visiting an emergency room (21.6% of White participants, 23.6% of Hispanic participants, 38.1% of Other Race, 32.3% of Black, 12.8% of Asian, and 28.9% of American Indian participants). Among participants who did not report mammography screening within the last year, 9.7% reported being hospitalized within the last year (10.1% of White participants, 7.2% of Hispanic participants, 6.5% of Other Race, 13.2% of Black participants, 3.2% of Asian participants, 13.2% of American Indian participants).
Conclusion:
Nearly 30% of participants who did not obtain recommended breast cancer screening have visited urgent care centers within the last year. Urgent care centers represent high yield opportunities to improve engagement with mammography screening.
