Abstract:
:The COVID-19 pandemic disrupted breast cancer screening and diagnostic imaging in the United States. We sought to evaluate how medical facilities prioritized breast imaging services during periods of reduced capacity or upon re-opening after closures. In fall 2020, we surveyed 77 breast imaging facilities within the Breast Cancer Surveillance Consortium in the United States. The survey ascertained the pandemic's impact on clinical practices during March-September 2020. Nearly all facilities (97%) reported closing or operating at reduced capacity at some point during this period. All facilities were open by August 2020, though 14% were still operating at reduced capacity in September 2020. During periods of re-opening or reduced capacity, 93% of facilities reported prioritizing diagnostic breast imaging over breast cancer screening. For diagnostic imaging, facilities prioritized based on rescheduling canceled appointments (89%), specific indication for diagnostic imaging (89%), patient demand (84%), individual characteristics and risk factors (77%), and time since last imaging examination (72%). For screening mammography, facilities prioritized based on rescheduled cancelations (96%), patient demand (83%), individual characteristics and risk factors (73%), and time since last mammogram (71%). For biopsy services, more than 90% of facilities reported prioritization based on rescheduling of canceled exams, patient demand, patient characteristics and risk factors and level of suspicion on imaging. The observed patterns from this large and geographically diverse sample of facilities in the United States indicate that multiple factors were commonly used to prioritize breast imaging services during periods of reduced capacity.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Sprague BL,O'Meara ES,Lee CI,Lee JM,Henderson LM,Buist DSM,Alsheik N,Macarol T,Perry H,Tosteson ANA,Onega T,Kerlikowske K,Miglioretti DLdoi
10.1016/j.ypmed.2021.106540keywords:
["Breast cancer","Breast imaging","COVID-19","Diagnostic imaging","Health services research","Healthcare delivery","Mammography","Preventive services","Radiology","Screening"]subject
Has Abstractpub_date
2021-10-01 00:00:00pages
106540eissn
0091-7435issn
1096-0260pii
S0091-7435(21)00124-9journal_volume
151pub_type
杂志文章abstract:OBJECTIVE:The familial aggregation of lipid levels, blood pressure, and body mass index (BMI) was studied in schoolchildren in Cuenca, Spain. METHODS:A cross-sectional observation study was made of 307 schoolchildren of both sexes, age range 9-12 years, from three schools in Cuenca, Spain, and of 346 parents. Social a...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0394
更新日期:1999-02-01 00:00:00
abstract:UNLABELLED:BACKGROUND. Mortality from coronary heart disease in Finland has declined remarkably since the early 1970s. Most of the change has apparently been due to the active national strategy for reduction of serum cholesterol levels. This study was undertaken to estimate to what extent members of the Finnish parliam...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0416
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Research on cognitive factors and motivational readiness for exercise is important for increasing our understanding of behavior change among those with sedentary lifestyles. This study examines stage of change for regular exercise and self-perceived quality of life. METHODS:Data are from 1,387 respondents t...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0429
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Guidelines exist for screening, diagnosing, and preventing tuberculosis (TB) among HIV-infected persons, but their application and utility are unknown. METHODS:We conducted a survey of knowledge and practices among 1,300 physicians in the San Francisco Bay area to assess their practices towards TB among HIV...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0452
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:We present the first study to explore the possibility that blacks believe that the human immunodeficiency virus was developed by the federal government in order to exterminate the black population. METHODS:Five hundred twenty black adults sampled door to door in 10 randomly selected census tracts completed ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0463
更新日期:1999-05-01 00:00:00
abstract:BACKGROUND:An evaluation was conducted to assess patient perceptions and comfort levels with a new triennial Pap smear screening guideline. METHODS:A random sample of women ages 20-69 (N = 673) was selected among members of three provider groups within a large health maintenance organization and mailed a survey. Quest...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0473
更新日期:1999-05-01 00:00:00
abstract:BACKGROUND:Most people are aware that smoking cigarettes increases the risk of ill health, in particular of lung cancer. The precise way in which they relate amount of exposure to smoke and level of health risk has not, however, been determined. METHODS:A convenience sample of 155 French adolescents and adults ages 15...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.1999.0482
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVE:The rate and determinants of tobacco prevention and cessation counseling to youth were examined for orthodontists participating in a controlled trial to decrease the incidence of tobacco use among adolescents. METHODS:A cross-sectional interview design in private practice offices throughout Southern Californ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0495
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND:In school-based smoking prevention research, it is still debatable whether parents or peers are most influential to maintained smoking among adolescents. As a result, this study examines the effects of parental and peer approval of smoking on adolescents' current levels of smoking. METHODS:Poisson random-ef...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0517
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND:The prevalence of hypertension among the population of Tianjin is one of the highest in China. We attempted to assess the changes in blood pressure, body mass index, and salt consumption in Tianjin from 1989 to 1996. METHODS:Two independent cross-sectional population surveys with the representative samples ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0530
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:Recent studies suggest that American Indian and Alaska Native women have important barriers to cancer screening and underuse cancer screening tests. METHODS:We examined the breast and cervical cancer screening practices of 4,961 American Indian and Alaska Native women in 47 states from 1992 through 1997 by ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0537
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:More than 700 communities have en acted laws prohibiting the sale of tobacco to minors, but little is known about the impact of such laws on youth smoking behavior. The objective of this study was to determine whether local tobacco sales laws de crease the rate of progression to established smoking among ado...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0551
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND:Understanding determinants of initiation and maintenance of an active lifestyle among older individuals is of great concern to public health because of the increasing evidence that lifestyle may alter the course of frequently occurring chronic diseases. METHOD:Two thousand five hundred seven community-dwell...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0561
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND:The relationship of serum ascorbic acid (AA) levels and excretion of nicotine metabolites was determined in 75 men who smoked at least one pack of cigarettes per day. METHODS:The subjects were randomly divided into three groups of 25 each who received a placebo, 200 mg of supplementation, or 1000 mg of supp...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.1999.0583
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:The objective was to assess the effectiveness of a directly mailed smoking cessation intervention to discharged hospital patients. METHODS:A randomized controlled trial was used. In the 2 weeks after discharge, smokers in the intervention group were sent by mail a personally addressed letter from their medi...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.1999.0586
更新日期:1999-12-01 00:00:00
abstract::Social-psychological research has led to effective health interventions based on social influence processes. For example, school-based substance abuse prevention programs using the social influences model consistently produce better results than programs emphasizing only health information. Other areas of application ...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1006/pmed.1998.0468
更新日期:1999-12-01 00:00:00
abstract::In this article we challenge the conclusion made from vital statistics that Hispanic Americans have lower all-cause and cardiovascular disease (CVD) mortality than non-Hispanic whites. There is reason to believe that vital statistics underascertain minority, and in particular Hispanic, deaths. Cohort studies minimize ...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1006/pmed.1998.0464
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:BCM correlates significantly with mor tality from other site-specific cancers and cardiovascular diseases for both sexes. These other mortalities could be used as independent biomarkers (predictors) of BCM allowing an evaluation of the importance of common etiological factors. METHODS:BCM (age-adjusted, 45-...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0596
更新日期:2000-02-01 00:00:00
abstract:BACKGROUND:The nicotine transdermal patch (NTP) has been shown previously to be a cost-effective smoking cessation intervention. This is the first economic analysis comparing the NTP with the only non-nicotine-containing pharmacological intervention, bupropion HCl. METHODS:Decision-tree analysis, based on a previously...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0627
更新日期:2000-03-01 00:00:00
abstract:BACKGROUND:A cost-benefit analysis was performed to estimate the cost-savings obtained from a nursing telephone intervention delivered to pregnant women identified as being at risk for preterm or low-birthweight births. METHODS:After being screened for eligibility, a total of 1,554 women receiving prenatal care in a c...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.2000.0637
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:Research needs to identify diet and disease associations to provide direction about effecting change in individuals with dietary behaviors that increase risk of chronic disease. Inclusion of dietary assessment in the University of North Carolina Alumni Heart Study (UNCAHS) provides the opportunity to prospec...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0679
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:Few primary care physicians routinely counsel for exercise, despite the benefits of physical activity and the high prevalence of inactivity. The objective of this study is to assess the effectiveness of Physician-Based Assessment and Counseling for Exercise (PACE), a brief, behavior-based tool for primary ca...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.2000.0673
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND:Approximately 10% of patients seen in the primary care setting meet criteria for high-risk (HR) drinking. Little data are available about the co-occurrence of other risk behaviors (RBs) in this population. This study examines the co-occurrence of smoking, poor diet, and sedentariness, and several change-rela...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0678
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND:Patient delay in seeking health care for heart attack symptoms is a continuuing problem in the United States. METHODS:Investigators conducted focus groups (N = 34; 207 participants) in major U.S. regions (NE, NW, SE, SW, MW) as formative evaluation to develop a multi-center randomized community trial (the R...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0702
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVE:The first aim of the present investigation was to examine cross-sectional differences between smokers who engage in additional health risk behaviors (i.e., high-fat diets and low physical activity levels) and those who do not that could affect readiness for smoking cessation treatment and treatment prognosis....
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1006/pmed.2000.0710
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:A study was performed among university and school employees as a step in detecting the prevalence of coronary heart disease (CHD) risk factors among school and university staff and the relation of the various risk factors to hypercholesterolemia and to predict the 5-years probability of development of CHD. ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0713
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:A significant minority of lifetime marijuana users will eventually receive a diagnosis of abuse or dependence. Yet little is known regarding the effect of age at onset and frequency of lifetime marijuana use on desistance from use and on progression to marijuana disorders. METHODS:To address this issue, dat...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0738
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:Identifying opportunities to offer cervical cancer screening to underscreened women is important for increasing early detection. Maryland law mandates offering Pap tests during hospital admissions. We examined organizational and physician attitudes and practices regarding inpatient screening, to identify mec...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0749
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:The quantity and quality of physical activity counseling by the health care provider can have a profound impact on improving the physical activity of the older population. This study presents an estimate of the quality and quantity of physical activity counseling and tests the associations of different varia...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0741
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:International research indicates that blue-collar employees typically exhibit lower rates of leisure-time physical activity. While "lack of time" and "work demands" are commonly reported barriers to activity, the extent to which time-at-work mediates the relationship between occupation and leisure-time physi...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0763
更新日期:2000-12-01 00:00:00