"These patients may have more complicated mammograms to interpret or may be at higher risk for cancer than patients at the community site," Dr. Lourenco said. "Higher risk patients would be expected to increase the recall rate of the population."
Another key factor was the age of the patients. The mean age of the patients at the hospital site was 56 years, compared with a mean age of 63 years at the private practice.
"Younger age has been associated with higher recall rates," Dr. Lourenco said.
While Dr. Lourenco commended efforts to develop quality metrics for breast cancer screening, she cautioned that recall rates are affected by factors out of the radiologist’s control and, therefore, cannot alone determine the quality of a radiologist or an institution.
"Screening Mammography Recall Rate: Does Practice Site Matter?" Collaborating with Dr. Lourenco were Jason Rothschild, M.D., and Martha B. Mainiero, M.D.
Radiology is edited by Herbert Y. Kressel, M.D., Harvard Medical School, Boston, Mass., and owned and published by the Radiological Society of North America, Inc. (http://radiology.rsna.org/)
RSNA is an association of more than 51,000 radiologists, radiation oncologists, medical physicists and related scientists promoting excellence in patient care and health care delivery through education, research and technologic innovation. The Society is based in Oak Brook,
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