ArticleMedical care2012
Language barriers, location of care, and delays in follow-up of abnormal mammograms.
Article in Medical care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review.BMC cancer · 2021Pooled it
- Clinic type and patient characteristics affecting time to resolution after an abnormal cancer-screening exam.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2015Trial
- Association of English language proficiency and breast cancer oncologic outcomes.JNCI cancer spectrum · 2026Article
- Patient and lesion characteristics associated with follow-up completion for pancreatic cystic lesions detected on MRI.Abdominal radiology (New York) · 2026Article
- Cervical, Breast, and Colorectal Cancer Screening Outcomes Among Refugees in Philadelphia, Pennsylvania.Journal of immigrant and minority health · 2025Article
- Provider perspectives on caring for patients with limited English proficiency-a national survey of the Society of Gynecologic Oncology.Gynecologic oncology reports · 2025Article
- Dissemination and implementation science frameworks and strategies to increase breast cancer screening for at-risk women in the United States: A scoping review.Journal of public health research · 2024Article
- Social determinants of health and health inequities in breast cancer screening: a scoping review.Frontiers in public health · 2024Article
- BI-RADS-0 Screening Mammography: Risk Factors That Prevent or Delay Follow-Up Time to Diagnostic Evaluation.Journal of the American College of Radiology : JACR · 2022Article
- Exploring the Impact of Language Concordance on Cancer Communication.JCO oncology practice · 2022Article
- Barriers to breast cancer screening are worsened amidst COVID-19 pandemic: A review.Clinical imaging · 2022Review
- From Cancer Epidemiology to Policy and Practice: the Role of a Comprehensive Cancer Center.Current epidemiology reports · 2022Review
- Mammography facilities serving vulnerable women have longer follow-up times.Health services research · 2019Article
- A Qualitative Study of Spanish-Speakers' Experience with Dense Breast Notifications in a Massachusetts Safety-Net Hospital.Journal of general internal medicine · 2019Article
- Communication Practices of Mammography Facilities and Timely Follow-up of a Screening Mammogram with a BI-RADS 0 Assessment.Academic radiology · 2018Article
- Article
- Coping and resiliency enhancement program (CARE): a pilot study for interpreters in cancer care.Psycho-oncology · 2017Article
- Conversations about Abnormal Mammograms on Distress and Timely Follow-up Across Ethnicity.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017Article
- Conceptualizing the Pathways and Processes Between Language Barriers and Health Disparities: Review, Synthesis, and Extension.Journal of immigrant and minority health · 2017Review
- Insurance-Based Differences in Time to Diagnostic Follow-up after Positive Screening Mammography.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2016Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundBreast cancer is frequently diagnosed after an abnormal mammography result. Language barriers can complicate communication of those results.
objectivesWe evaluated the association of non-English language with delay in follow-up.
methodsRetrospective cohort study of women at 3 mammography facilities participating in the San Francisco Mammography Registry with an abnormal mammogram result from 1997 to 2008. We measured median time from report of abnormal result to first follow-up test.
resultsOf 13,014 women with 16,109 abnormal mammograms, 4027 (31%) had a non-English patient language. Clinical facilities differed in proportion of non-English speakers and in time to first follow-up test: facility A (38%; 25 d), facility B (18%; 14 d), and facility C (51%; 41 d). Most mammography examinations (67%) had breast imaging and reporting data system 0 (incomplete) assessment, requiring radiographic follow-up. At 30 days of follow-up, 67% of all English speakers with incomplete assessments had a follow-up examination compared with 50% of all non-English speakers (P<0.0001). The facility with the least delay and the lowest proportion of non-English speakers, had the biggest difference by language; compared with English speakers and adjusting for education, non-English speakers had twice the odds ratio of >30-day delay in follow-up (odds ratio=2.3; 95% confidence interval, 1.4-3.9).
conclusionsThere are considerable differences among facilities in delays in diagnostic follow-up of abnormal mammography results. More attention must be paid to understanding mammography facility factors, such as wait time to schedule diagnostic mammography and radiology workload, to improve rates of timely follow-up, particularly for those facilities disproportionately serving vulnerable non-English speaking patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.