Evidence map›Paper›PMID 39406580›Full record

ArticleAcademic radiology2025

Patient, Examination, and System Factors Associated with Completed Follow-up for Probably Benign (BI-RADS 3) Breast Findings in a Large, Complex Health Care System.

Catherine S Giess, Elyse Lynch, Ronilda Lacson, Pamela J DiPiro, Fatima Salah, Stephanie H Chung, Gary X Wang, Ramin Khorasani

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Academic radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Catherine S GiessCenter for Evidence Based Imaging, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (C.S.G., E.L., R.L., P.J.D., F.S., R.K.); Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (C.S.G., R.L., P.J.D., F.S., S.H.C., R.K.). Electronic address: cgiess@bwh.harvard.edu.
Elyse LynchCenter for Evidence Based Imaging, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (C.S.G., E.L., R.L., P.J.D., F.S., R.K.).
Ronilda LacsonCenter for Evidence Based Imaging, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (C.S.G., E.L., R.L., P.J.D., F.S., R.K.); Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (C.S.G., R.L., P.J.D., F.S., S.H.C., R.K.).
Pamela J DiPiroCenter for Evidence Based Imaging, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (C.S.G., E.L., R.L., P.J.D., F.S., R.K.); Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (C.S.G., R.L., P.J.D., F.S., S.H.C., R.K.).
Fatima SalahCenter for Evidence Based Imaging, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (C.S.G., E.L., R.L., P.J.D., F.S., R.K.); Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (C.S.G., R.L., P.J.D., F.S., S.H.C., R.K.).
Stephanie H ChungDepartment of Radiology, Brigham and Women's Hospital, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (C.S.G., R.L., P.J.D., F.S., S.H.C., R.K.).
Gary X WangDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (G.X.W.).
Ramin KhorasaniCenter for Evidence Based Imaging, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (C.S.G., E.L., R.L., P.J.D., F.S., R.K.); Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (C.S.G., R.L., P.J.D., F.S., S.H.C., R.K.).

Funding

AHRQ HHS R18 HS029348
6 · The paper itself

Abstract

RATIONALE AND

objectivesTo investigate patient, examination, and system factors associated with follow-up completion for probably benign breast (BI-RADS 3) findings. MATERIALS AND

methodsRetrospective review identified all BI-RADS 3 mammography, ultrasound, and MRI reports (index studies) for unique patient encounters at a large multi-institution Health Care System Jan 1-Dec 31, 2021. Electronic health record supplied patient demographics and examination type; Radiology Information System supplied ordering and scheduling information. University of Wisconsin's Neighborhood Atlas was used to map patient home addresses to determine area deprivation index (ADI). Univariable and multivariable analyses identified variables associated with noncompleted BI-RADS 3 follow-up.

resultsAmong 8834 BI-RADS 3 examinations, 6778 (76.7%) had follow-up imaging completed within 15 months. Factors associated with incomplete follow-up on multivariable analysis included: ultrasound (Odds Ratio [OR] 0.22; 95% Confidence Interval [95%CI] 0.19-0.25); MRI (0.10, 95%CI 0.08-0.12); Asian race (0R 0.77; 95%CI 0.61-0.98); age< 40 years (OR 0.22; 95%CI 0.18-0.26); non-married status (single, OR 0.68; 95% CI 0.59-0.79; divorced OR 0.77; 95% CI 0.61-0.97; widowed OR 0.61; 95% CI 0.44-0.85); public insurance (OR 0.84; 95% CI 0.71-0.98), self-pay (OR 0.59; 95% CI 0.39-0.96); orders placed > 8 months after index examination (OR 0.20; 95%CI 0.14-0.29); ordering by non-primary care (PCP) (OR 0.51; 95%CI 0.36-0.72); and non-same day scheduling. Socioeconomic disadvantage (ADI) was not associated with incomplete BI-RADS 3 follow-up.

conclusionNon-completion of recommended BI-RADS 3 follow-up is associated with Asian race, age< 40 years, MRI or ultrasound (versus mammography), marital status, insurance coverage, delayed order placement or scheduling, and order placement by non-PCPs.

Indexed as

Breast NeoplasmsMagnetic Resonance ImagingMammographyUltrasonography, MammaryAdultAgedFemaleFollow-Up StudiesHumansMiddle AgedRetrospective StudiesBI-RADS 3BreastFollow-upProbably benign

Identifiers

PMID39406580
PMCPMC12912525

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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.