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Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review.

Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. BMC Cancer. 2021;21(1):373. doi: 10.1186/s12885-021-08100-3.

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May 12, 2021
Reece JC, Neal EFG, Nguyen P, et al. BMC Cancer. 2021;21(1):373.

Lack of timely follow-up of test results is an ongoing patient safety problem in primary care and can lead to missed or delayed diagnoses. This systematic review concluded that follow-up of abnormal mammograms in primary care is suboptimal. Findings from included studies indicate that ethnic minorities and women with lower educational attainment were more likely to have inadequate follow-up. Factors influencing follow-up include physician-patient miscommunication, alert fatigue, difficulty obtaining test results or patient records, and logistical barriers. The authors suggest adopting interventions focused on mitigating factors that negatively impact follow-up, such as patient navigation and case management.

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Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. BMC Cancer. 2021;21(1):373. doi: 10.1186/s12885-021-08100-3.