{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T08:29:24Z","timestamp":1776500964128,"version":"3.51.2"},"reference-count":53,"publisher":"Wiley","issue":"24","license":[{"start":{"date-parts":[[2009,10,26]],"date-time":"2009-10-26T00:00:00Z","timestamp":1256515200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2009,12,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>BACKGROUND:<\/jats:title><jats:p>In the United States, and particularly in South Carolina, African\u2010American women suffer disproportionately higher mortality rates from breast cancer than European\u2010American women. The timeliness of patient adherence to the follow\u2010up of mammographic abnormalities may influence prognosis and survival. The objective of the current investigation was to examine racial differences in the completion and completion time of a diagnostic workup after the finding of a suspicious breast abnormality.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>Study participants of the Best Chance Network, a statewide service program that provides free mammography screening to economically disadvantaged and medically underserved women, were included in the study. Racial differences in tumor characteristics and adherence to recommended workup were tested using chi\u2010square tests and <jats:italic>t<\/jats:italic> tests. Logistic and Cox regression modeling was used to assess the relation between workup completion and other factors among African\u2010American women and European\u2010American women.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>Completion of the workup was associated with the number of previous procedures and income, and no significant differences were noted by race. The amount of time to completion of the workup was influenced by previous procedures, income, and race. After accounting for completion time, African\u2010American women were 12% less likely than European\u2010American women to complete the recommended workup (hazard ratio, 0.88; <jats:italic>P<\/jats:italic> = .01).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>The results from this study established a racial disparity in the time to completion of a diagnostic workup among Best Chance Network participants. These findings highlight the importance of understanding the factors associated with delays in and adherence to completing the recommended workup when breast abnormalities are detected in mammograms. Cancer 2009. \u00a9 2009 American Cancer Society.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.24633","type":"journal-article","created":{"date-parts":[[2009,10,26]],"date-time":"2009-10-26T11:15:12Z","timestamp":1256555712000},"page":"5788-5797","source":"Crossref","is-referenced-by-count":49,"title":["Racial differences in follow\u2010up of abnormal mammography findings among economically disadvantaged women"],"prefix":"10.1002","volume":"115","author":[{"given":"Swann A.","family":"Adams","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily 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