Racial Disparities in Breast Imaging Wait Times Before and After the Implementation of a Same-Day Biopsy Program

Abstract Objective To examine time from screening to diagnostic workup, biopsy, and surgery for non-Hispanic White (NHW) and Black women following implementation of a same-day biopsy program. Methods All NHW and Black women with BI-RADS category 0 screening mammogram at Duke University Hospital were...

Full description

Saved in:
Bibliographic Details
Published in:Journal of breast imaging 2023-03, Vol.5 (2), p.159-166
Main Authors: Yoon, Sora C, Taylor-Cho, Michael W, Charles, Matthew G, Grimm, Lars
Format: Article
Language:English
Subjects:
Biopsy
Black or African American
Breast Neoplasms - diagnosis
Female
Healthcare Disparities
Humans
Mammography - methods
Racial Groups
Waiting Lists
White
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Objective To examine time from screening to diagnostic workup, biopsy, and surgery for non-Hispanic White (NHW) and Black women following implementation of a same-day biopsy program. Methods All NHW and Black women with BI-RADS category 0 screening mammogram at Duke University Hospital were identified between August 1, 2020, and August 1, 2021. Patient characteristics were recorded. Time between screening mammogram, diagnostic workup, breast biopsy, surgical consultation, and surgery were recorded. Comparisons were made between NHW and Black women using a multivariable regression model. Diagnostic imaging to biopsy time interval was compared to historical averages before same-day biopsy implementation. Results There were 2156 women: 69.9% NHW (1508/2156) and 30.1% Black (648/2156). Mean ± standard deviation time from screening to diagnostic imaging overall was 13.5 ± 32.5 days but longer for Black (18.0 ± 48.3 days) than for NHW women (11.5 ± 22.2 days) (P 
ISSN:2631-6110
2631-6129
DOI:10.1093/jbi/wbad003