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ACR Appropriateness Criteria® Pretreatment Staging of Urothelial Cancer: 2024 Update ACR Appropriateness Criteria® 尿道癌治疗前分期:2024 年更新版。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.08.022
Urothelial cancer is the second most common cancer, and cause of cancer death, related to the genitourinary tract. The goals of imaging for pretreatment staging of urothelial cancer are to evaluate for both local and distant spread of the cancer and assessing for synchronous sites of urothelial cancer in the upper tracts and bladder. For pretreatment staging of urothelial carcinoma, patients can be stratified into one of three groups: 1) nonmuscle invasive bladder cancer; 2) muscle invasive bladder cancer; and 3) upper urinary tract urothelial carcinoma. This document is a review of the current literature for urothelial cancer and resulting recommendations for pretreatment staging imaging.
The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
泌尿道癌是泌尿生殖系统第二大常见癌症,也是导致癌症死亡的原因。对尿路上皮癌进行预处理分期成像的目的是评估癌症的局部和远处扩散情况,并评估上尿路和膀胱中尿路上皮癌的同步部位。尿路上皮癌的预处理分期可将患者分为三组:1)非肌肉浸润性膀胱癌;2)肌肉浸润性膀胱癌;3)上尿路尿路上皮癌。本文件回顾了目前有关尿路上皮癌的文献,并对预处理分期成像提出了建议。美国放射学会适宜性标准是针对特定临床情况的循证指南,每年由一个多学科专家小组进行审查。指南的制定和修订过程支持对同行评审期刊上的医学文献进行系统分析。已确立的方法原则,如 "建议评估、发展和评价分级"(GRADE),被用来评估证据。兰德/加州大学洛杉矶分校《适宜性方法用户手册》提供了确定特定临床情况下成像和治疗程序适宜性的方法。在缺乏同行评议文献或文献不明确的情况下,专家可能是制定建议的主要证据来源。
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引用次数: 0
ACR Appropriateness Criteria® Altered Mental Status, Coma, Delirium, and Psychosis: 2024 Update ACR 适宜性标准®精神状态改变、昏迷、谵妄和精神病:2024 年更新版》(ACR Appropriateness Criteria® Altered Mental Status, Coma, Delirium, and Psychosis: 2024 Update)。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.08.018
Altered mental status (AMS) and coma are terms used to describe disorders of arousal and content of consciousness. AMS may account for up to 4% to 10% of chief complaints in the emergency department setting and is a common accompanying symptom for other presentations. AMS is not a diagnosis, but rather a term for symptoms of acute or chronic disordered mentation, including confusion, disorientation, lethargy, drowsiness, somnolence, unresponsiveness, agitation, altered behavior, inattention, hallucinations, delusions, and psychosis. Some of the most common disorders associated with AMS are underlying medical conditions, substance use, and mental disorders. This document focuses on the appropriateness of neuroimaging in adult patients presenting with AMS changes including new onset delirium or new onset psychosis. In these cases, imaging is often expedited for initial stabilization and to exclude an intracranial process requiring intervention.
The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
精神状态改变(AMS)和昏迷是用来描述意识唤醒和意识内容紊乱的术语。AMS 可占急诊科主诉的 4% 至 10%,也是其他症状的常见伴随症状。AMS 不是一种诊断,而是急性或慢性精神错乱症状的总称,包括混乱、迷失方向、嗜睡、昏睡、反应迟钝、激动、行为改变、注意力不集中、幻觉、妄想和精神病。与急性谵妄综合征相关的一些最常见疾病包括潜在的疾病、药物使用和精神障碍。本文件重点介绍了对出现 AMS 病变(包括新发谵妄或新发精神病)的成年患者进行神经影像学检查的适宜性。在这些病例中,为了初步稳定病情并排除需要干预的颅内病变,通常需要加快影像学检查。美国放射学会适当性标准是针对特定临床情况的循证指南,每年由一个多学科专家小组进行审查。指南的制定和修订过程支持对同行评审期刊上的医学文献进行系统分析。已确立的方法原则,如 "建议评估、发展和评价分级"(GRADE),被用来评估证据。兰德/加州大学洛杉矶分校《适宜性方法用户手册》提供了确定特定临床情况下成像和治疗程序适宜性的方法。在缺乏同行评议文献或文献模棱两可的情况下,专家可能是制定建议的主要证据来源。
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引用次数: 0
Cover 封面
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/S1546-1440(24)00824-X
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引用次数: 0
ACR Appropriateness Criteria® Penetrating Torso Trauma ACR Appropriateness Criteria® 穿透性躯干创伤。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-01 DOI: 10.1016/j.jacr.2024.08.014
This document assesses the appropriateness of various imaging studies for acute penetrating trauma to the torso. Penetrating trauma most commonly occurs from gunshots and stabbings, although any object can impale the patient. Anatomic location, type of penetrating trauma, and hemodynamic status are among the many important factors when deciding upon if, what, and when imaging is needed to further evaluate the patient. Imaging plays a critical role in the management of these patients. CT, in particular, aids in identifying and predicting internal injuries based upon trajectory of the object. Clinical variants are distinguished by ballistic versus nonballistic injuries, hemodynamic status, and compartment of the body injured. Ballistic trauma trajectory is less predictable, and imaging recommendations are adjusted for this unpredictability. Excluded from this document are penetrating traumatic injuries to pediatric patients and specific recommendations when the genitourinary system is clinically suspected to be injured, the latter of which is more specifically discussed in other Appropriateness Criteria documents.
The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are documented annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer documented journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer documented literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
本文件评估了对躯干急性穿透性创伤进行各种成像检查的适当性。穿透性创伤最常见于枪击和刺伤,但任何物体都可能刺伤患者。解剖位置、穿透性创伤类型和血液动力学状态是决定是否需要、需要什么以及何时需要进行影像学检查以进一步评估患者的众多重要因素之一。影像学检查在这些患者的治疗中起着至关重要的作用。CT 尤其有助于根据物体的轨迹识别和预测内伤。临床变异可根据弹道与非弹道损伤、血液动力学状态和受伤的身体部位进行区分。弹道创伤轨迹的可预测性较低,因此要根据这种不可预测性调整成像建议。本文件不包括儿科患者的穿透性创伤以及临床上怀疑泌尿生殖系统受伤时的具体建议,后者在其他适当性标准文件中有更具体的讨论。美国放射学会适宜性标准是以证据为基础的特定临床条件指南,每年由一个多学科专家小组进行记录。指南的制定和修订过程支持对同行期刊上的医学文献进行系统分析。既定的方法原则,如 "建议评估、发展和评价分级"(GRADE),被用来评估证据。兰德/加州大学洛杉矶分校《适宜性方法用户手册》提供了确定特定临床情况下成像和治疗程序适宜性的方法。在缺乏同行文献记载或文献记载不明确的情况下,专家可能是制定建议的主要证据来源。
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引用次数: 0
Unlocking the Value: Quantifying the Return on Investment of Hospital Artificial Intelligence 释放价值:量化医院人工智能的投资回报率。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.jacr.2024.02.034

Purpose

A comprehensive return on investment (ROI) calculator was developed to evaluate the monetary and nonmonetary benefits of an artificial intelligence (AI)–powered radiology diagnostic imaging platform to inform decision makers interested in adopting AI.

Methods

A calculator was constructed to calculate comparative costs, estimated revenues, and quantify the clinical value of using an AI platform compared with no use of AI in radiology workflows of a US hospital over a 5-year time horizon. Parameters were determined on the basis of expert interviews and a literature review. Scenario and deterministic sensitivity analyses were conducted to evaluate calculator drivers.

Results

In the calculator, the introduction of an AI platform into the hospital radiology workflow resulted in labor time reductions and delivery of an ROI of 451% over a 5-year period. The ROI was increased to 791% when radiologist time savings were considered. Time savings for radiologists included more than 15 8-hour working days of waiting time, 78 days in triage time, 10 days in reading time, and 41 days in reporting time. Using the platform also provided revenue benefits for the hospital in bringing in patients for clinically beneficial follow-up scans, hospitalizations, and treatment procedures. Results were sensitive to the time horizon, health center setting, and number of scans performed. Among those, the most influential outcome was the number of additional necessary treatments performed because of AI identification of patients.

Conclusions

The authors demonstrate a substantial 5-year ROI of implementing an AI platform in a stroke management–accredited hospital. The ROI calculator may be useful for decision makers evaluating AI-powered radiology platforms.
目的:我们开发了一个综合投资回报率(ROI)计算器,用于评估人工智能(AI)驱动的放射诊断成像平台的货币和非货币收益,为有意采用人工智能的决策者提供信息:构建了一个计算器,用于计算比较成本、估计收入,并量化在美国一家医院的放射学工作流程中使用人工智能平台与不使用人工智能平台在五年时间跨度内的临床价值。参数是根据专家访谈和文献综述确定的。进行了情景和确定性敏感性分析,以评估计算器的驱动因素:在我们的计算器中,在医院放射科工作流程中引入人工智能平台可减少劳动时间,并在五年内实现 451% 的投资回报率。如果考虑到放射科医生节省的时间,投资回报率则增加到 791%。放射科医生节省的时间包括超过 15 个 8 小时工作日的等待时间、78 天的分诊时间、10 天的读片时间和 41 天的报告时间。使用该平台还能为医院带来收入效益,因为它能让患者接受对临床有益的随访扫描、住院治疗和治疗程序。结果对时间跨度、医疗中心设置和扫描次数都很敏感。其中,影响最大的结果是因人工智能识别患者而额外进行的必要治疗次数:结论:我们证明了在一家通过卒中管理认证的医院实施人工智能平台可获得可观的五年投资回报率。投资回报率计算器可能会对评估人工智能驱动的放射学平台的决策者有所帮助。
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引用次数: 0
Limitations of the Medical Specialty Preference Inventory (MSPI) for Radiation Oncology 放射肿瘤学医学专业偏好量表(MSPI)的局限性。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.jacr.2024.04.004
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引用次数: 0
Patient Utilization of Weekend and Evening Appointments for Screening Mammography: An 8-Year Observational Cohort Study 患者利用周末/夜间预约进行乳腺放射摄影筛查的情况:一项为期 8 年的观察队列研究
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.jacr.2024.04.029

Objective

To characterize the patient population using weekend and evening appointments for screening mammography versus standard appointment times across four outpatient facilities in our academic health system.

Methods

In this institutional review board–approved retrospective cohort study, there were 203,101 screening mammograms from 67,323 patients who had a screening mammogram performed at outpatient centers at a multisite academic institution from January 1, 2015, to December 31, 2022. Screening appointments were defined as “standard appointment time” (between 8 am and 5 pm on Monday through Friday) or “weekend or evening appointment time” (scheduled after 5 pm on Monday through Friday or at any time on a Saturday or Sunday). Associations between appointment group and patient characteristics were analyzed using univariate and multivariate logistic regression.

Results

Most screening mammograms (n = 185,436, 91.3%) were performed at standard times. The remainder (n = 17,665, 8.7%) were performed during weekends or evenings. As we created additional weekend and evening appointments after the coronavirus disease 2019 pandemic, the annual percentage of all screening mammograms performed on evenings and weekends increased. On multivariate analysis, when compared with standard appointment times, we found that patients who were younger than age 50 (P < .001), a race other than non-Hispanic White (P < .001), non-English speakers (P < .001), and from less advantaged zip codes (P < .03) were more likely to use weekend and evening appointment times compared with those aged 70 and above, non-Hispanic White patients, English speakers, and those from the most advantaged zip codes.

Conclusions

Weekend and evening appointment availability for screening mammograms might improve screening access for all patients, particularly for those younger than age 50, those of races other than non-Hispanic White, and those from less advantaged zip codes.
方法 在这项经机构审查委员会批准的回顾性队列研究中,从 2015 年 1 月 1 日到 2022 年 12 月 31 日,在一家多地点学术机构的门诊中心进行乳腺 X 光筛查的 67323 名患者共进行了 203101 次乳腺 X 光筛查。筛查预约被定义为 "标准预约时间"(周一至周五上午 8 点到下午 5 点之间)或 "周末或晚间预约时间"(周一至周五下午 5 点之后或周六或周日的任何时间)。采用单变量和多变量逻辑回归分析了预约组别与患者特征之间的关联。结果大多数乳腺 X 光筛查(n = 185,436, 91.3%)都是在标准时间进行的。其余(17,665 人,占 8.7%)在周末或晚上进行。在 2019 年冠状病毒疾病大流行后,我们增加了周末和晚上的预约时间,因此每年在晚上和周末进行的所有乳腺 X 光检查的比例也有所增加。通过多变量分析,与标准预约时间相比,我们发现年龄小于 50 岁(P < .001)、非西班牙裔白人以外的种族(P < .001)、不讲英语(P < .001)以及来自条件较差的邮政编码(P < .03)与 70 岁及以上的患者、非西班牙裔白人患者、会讲英语的患者以及来自条件最优越的邮政编码的患者相比,更有可能使用周末和晚上的预约时间。结论周末和晚上的乳房 X 光筛查预约时间可能会改善所有患者接受筛查的机会,尤其是 50 岁以下的患者、非西班牙裔白人以外种族的患者以及来自条件较差的邮政编码的患者。
{"title":"Patient Utilization of Weekend and Evening Appointments for Screening Mammography: An 8-Year Observational Cohort Study","authors":"","doi":"10.1016/j.jacr.2024.04.029","DOIUrl":"10.1016/j.jacr.2024.04.029","url":null,"abstract":"<div><h3>Objective</h3><div>To characterize the patient population using weekend and evening appointments for screening mammography versus standard appointment times across four outpatient facilities in our academic health system.</div></div><div><h3>Methods</h3><div>In this institutional review board–approved retrospective cohort study, there were 203,101 screening mammograms from 67,323 patients who had a screening mammogram performed at outpatient centers at a multisite academic institution from January 1, 2015, to December 31, 2022. Screening appointments were defined as “standard appointment time” (between 8 am and 5 pm on Monday through Friday) or “weekend or evening appointment time” (scheduled after 5 pm on Monday through Friday or at any time on a Saturday or Sunday). Associations between appointment group and patient characteristics were analyzed using univariate and multivariate logistic regression.</div></div><div><h3>Results</h3><div>Most screening mammograms (n = 185,436, 91.3%) were performed at standard times. The remainder (n = 17,665, 8.7%) were performed during weekends or evenings. As we created additional weekend and evening appointments after the coronavirus disease 2019 pandemic, the annual percentage of all screening mammograms performed on evenings and weekends increased. On multivariate analysis, when compared with standard appointment times, we found that patients who were younger than age 50 (<em>P</em> &lt; .001), a race other than non-Hispanic White (<em>P</em> &lt; .001), non-English speakers (<em>P</em> &lt; .001), and from less advantaged zip codes (<em>P</em> &lt; .03) were more likely to use weekend and evening appointment times compared with those aged 70 and above, non-Hispanic White patients, English speakers, and those from the most advantaged zip codes.</div></div><div><h3>Conclusions</h3><div>Weekend and evening appointment availability for screening mammograms might improve screening access for all patients, particularly for those younger than age 50, those of races other than non-Hispanic White, and those from less advantaged zip codes.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":null,"pages":null},"PeriodicalIF":4.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141143599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Missed Screening Mammography Appointments: Patient Sociodemographic Characteristics and Mammography Completion After 1 Year 错过乳腺 X 射线造影筛查预约:患者的社会人口学特征和一年后完成乳腺 X 射线造影检查的情况。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.jacr.2024.03.017

Objective

Patients who miss screening mammogram appointments without notifying the health care system (no-show) risk care delays. We investigate sociodemographic characteristics of patients who experience screening mammogram no-shows at a community health center and whether and when the missed examinations are completed.

Methods

We included patients with screening mammogram appointments at a community health center between January 1, 2021, and December 31, 2021. Language, race, ethnicity, insurance type, residential ZIP code tabulation area (ZCTA) poverty, appointment outcome (no-show, same-day cancelation, completed), and dates of completed screening mammograms after no-show appointments with ≥1-year follow-up were collected. Multivariable analyses were used to assess associations between patient characteristics and appointment outcomes.

Results

Of 6,159 patients, 12.1% (743 of 6,159) experienced no-shows. The no-show group differed from the completed group by language, race and ethnicity, insurance type, and poverty level (all P < .05). Patients with no-shows more often had: primary language other than English (32.0% [238 of 743] versus 26.7% [1,265 of 4,741]), race and ethnicity other than White non-Hispanic (42.3% [314 of 743] versus 33.6% [1,595 of 4,742]), Medicaid or means-tested insurance (62.0% [461 of 743] versus 34.4% [1,629 of 4,742]), and residential ZCTAs with ≥20% poverty (19.5% [145 of 743] versus 14.1% [670 of 4,742]). Independent predictors of no-shows were Black non-Hispanic race and ethnicity (adjusted odds ratio [aOR], 1.52; 95% confidence interval [CI], 1.12-2.07; P = .007), Medicaid or other means-tested insurance (aOR, 2.75; 95% CI, 2.29-3.30; P < .001), and ZCTAs with ≥20% poverty (aOR, 1.76; 95% CI, 1.14-2.72; P = .011). At 1-year follow-up, 40.6% (302 of 743) of patients with no-shows had not completed screening mammogram.

Discussion

Screening mammogram no-shows is a health equity issue in which socio-economically disadvantaged and racially and ethnically minoritized patients are more likely to experience missed appointments and continued delays in screening mammogram completion.
目标未通知医疗保健系统而错过乳腺 X 线照相筛查预约(未预约)的患者有可能延误治疗。我们调查了社区卫生中心乳腺 X 光筛查缺席患者的社会人口学特征,以及缺席的检查是否和何时完成。方法我们纳入了 2021 年 1 月 1 日至 2021 年 12 月 31 日期间在社区卫生中心预约乳腺 X 光筛查的患者。我们收集了语言、种族、民族、保险类型、居住地邮政编码表区(ZCTA)贫困程度、预约结果(未预约、当天取消预约、已完成预约)以及未预约后完成乳腺 X 光筛查的日期,并进行了≥1 年的随访。结果 在 6,159 名患者中,12.1%(6,159 人中的 743 人)的患者没有预约。未赴约组与已赴约组在语言、种族和民族、保险类型和贫困程度方面存在差异(所有 P 均为 0.05)。未就诊患者的主要语言多为非英语(32.0% [743 人中的 238 人] 与 26.7% [4,741 人中的 1,265 人]),种族和族裔多为非西班牙裔白人(42.3% [743 人中的 314 人] 与 33.6% [4,741 人中的 1,595 人])。6%[4,742人中的1,595人])、医疗补助或经济情况调查保险(62.0%[743人中的461人]对34.4%[4,742人中的1,629人])以及贫困率≥20%的居住区(19.5%[743人中的145人]对14.1%[4,742人中的670人])。非西班牙裔黑人种族和民族(调整赔率比 [aOR],1.52;95% 置信区间 [CI],1.12-2.07;P = .007)、医疗补助计划或其他经济情况调查保险(aOR,2.75;95% 置信区间,2.29-3.30;P <.001)以及贫困率≥20% 的 ZCTAs(aOR,1.76;95% 置信区间,1.14-2.72;P = .011)是不就诊的独立预测因素。讨论乳房 X 光筛查缺席是一个健康公平问题,社会经济状况不佳、种族和民族少数的患者更有可能错过预约,并继续推迟完成乳房 X 光筛查。
{"title":"Missed Screening Mammography Appointments: Patient Sociodemographic Characteristics and Mammography Completion After 1 Year","authors":"","doi":"10.1016/j.jacr.2024.03.017","DOIUrl":"10.1016/j.jacr.2024.03.017","url":null,"abstract":"<div><h3>Objective</h3><div>Patients who miss screening mammogram appointments without notifying the health care system (no-show) risk care delays. We investigate sociodemographic characteristics of patients who experience screening mammogram no-shows at a community health center and whether and when the missed examinations are completed.</div></div><div><h3>Methods</h3><div>We included patients with screening mammogram appointments at a community health center between January 1, 2021, and December 31, 2021. Language, race, ethnicity, insurance type, residential ZIP code tabulation area (ZCTA) poverty, appointment outcome (no-show, same-day cancelation, completed), and dates of completed screening mammograms after no-show appointments with ≥1-year follow-up were collected. Multivariable analyses were used to assess associations between patient characteristics and appointment outcomes.</div></div><div><h3>Results</h3><div>Of 6,159 patients, 12.1% (743 of 6,159) experienced no-shows. The no-show group differed from the completed group by language, race and ethnicity, insurance type, and poverty level (all <em>P</em> &lt; .05). Patients with no-shows more often had: primary language other than English (32.0% [238 of 743] versus 26.7% [1,265 of 4,741]), race and ethnicity other than White non-Hispanic (42.3% [314 of 743] versus 33.6% [1,595 of 4,742]), Medicaid or means-tested insurance (62.0% [461 of 743] versus 34.4% [1,629 of 4,742]), and residential ZCTAs with ≥20% poverty (19.5% [145 of 743] versus 14.1% [670 of 4,742]). Independent predictors of no-shows were Black non-Hispanic race and ethnicity (adjusted odds ratio [aOR], 1.52; 95% confidence interval [CI], 1.12-2.07; <em>P</em> = .007), Medicaid or other means-tested insurance (aOR, 2.75; 95% CI, 2.29-3.30; <em>P</em> &lt; .001), and ZCTAs with ≥20% poverty (aOR, 1.76; 95% CI, 1.14-2.72; <em>P</em> = .011). At 1-year follow-up, 40.6% (302 of 743) of patients with no-shows had not completed screening mammogram.</div></div><div><h3>Discussion</h3><div>Screening mammogram no-shows is a health equity issue in which socio-economically disadvantaged and racially and ethnically minoritized patients are more likely to experience missed appointments and continued delays in screening mammogram completion.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":null,"pages":null},"PeriodicalIF":4.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140757094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Task of Leadership 领导的任务。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.jacr.2024.03.019
{"title":"Task of Leadership","authors":"","doi":"10.1016/j.jacr.2024.03.019","DOIUrl":"10.1016/j.jacr.2024.03.019","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":null,"pages":null},"PeriodicalIF":4.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140905249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using Divergent Thinking Processes to Identify Breast Cancer Screening Barriers 利用发散思维过程识别乳腺癌筛查障碍。
IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.jacr.2024.06.009
{"title":"Using Divergent Thinking Processes to Identify Breast Cancer Screening Barriers","authors":"","doi":"10.1016/j.jacr.2024.06.009","DOIUrl":"10.1016/j.jacr.2024.06.009","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":null,"pages":null},"PeriodicalIF":4.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of the American College of Radiology
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