Patient navigation reduces time to care for patients with breast symptoms and abnormal screening mammograms |
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Authors: | Elaine McKevitt Carol Dingee Rebecca Warburton Jin-Si Pao Carl J Brown Christine Wilson Urve Kuusk |
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Institution: | 1. Department of Surgery, Providence Health Care, 3080 Prince Edward St, Vancouver, BC, V5T 3N4, Canada;2. Department of Surgery, The University of British Columbia, 950West 10th Ave, Vancouver, BC, V5Z 1M9, Canada;3. Department of Radiology, The University of British Columbia, 950West 10th Ave, Vancouver, BC, V5Z 1M9, Canada;4. Department of Radiology, British Columbia Cancer Agency, 600West 10th Ave, Vancouver, BC, V5Z 4E6, Canada |
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Abstract: | IntroductionConcern has been raised about delays for patients presenting with breast symptoms in Canada. Our objective was to determine if our Rapid Access Breast Clinic (RABC) improved care for patients presenting with breast symptoms compared to the traditional system (TS).MethodsA retrospective chart review tabulated demographic, surgical, pathology and radiologic information. Wait times to care were determined for patients presenting with symptomatic and screen detected breast problems.ResultsTime from presentation to surgeon evaluation was shorter in the RABC group for patients with breast symptoms (81 vs 35 days, p?<?.0001) and abnormal screens (72 vs 40 days, p?=?.092). Cancer patients with abnormal screens had shorter wait times than patients with breast symptoms in the TS (47 vs 70 days, p?=?.036).ConclusionCoordination of imaging and clinical care reduces wait times in patients with both abnormal screening mammograms and symptomatic breast presentations and should be expanded in our province. |
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Keywords: | Breast cancer Wait times Diagnosis Surgery Delivery of care |
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