{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T01:23:40Z","timestamp":1784683420457,"version":"3.55.0"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The purpose of this analysis was to determine whether our \u201creflex testing\u201d (RefT) intervention, implemented to address barriers in scheduling, communication, and diagnostic order placement for resolving BI-RADS 0 screening mammograms, resulted in decreased interval wait times (IWT) for patients with abnormal screening mammograms (abSM).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>All BI-RADS 0 cases over two six-month periods (pre-RefT and post-RefT) were analyzed. Timelines were generated for each BI-RADS 0 case. Elapsed days were computed from date of BI-RADS 0 report to the date of biopsy, additional diagnostic testing, and final resolution. The means of each endpoint within the pre-RefT and post-RefT cohorts were statistically analyzed using Pearson chi-square analysis to assess whether IWT differed significantly after RefT implementation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The analytic cohort consisted of 1523 BI-RADS 0 cases (n(pre-RefT)\u2005=\u2005647, n(post-RefT)\u2005=\u2005876). Reflex testing decreased the overall mean IWT from 23.5 to 8.2 days (P\u2005&amp;lt;\u20050.001). For patients not requiring biopsy (1190\/1523, 78.1%), the mean IWT from the BI-RADS 0 designation to first diagnostic test or resolution decreased from 29.7 to 10.8 days (P\u2005&amp;lt;\u20050.010). For patients who had biopsy (333\/1523, 21.9%), RefT significantly decreased the IWT from BI-RADS 0 to first diagnostic test from 31.4 to 7.7 days (P\u2005&amp;lt;\u20050.001) and also significantly decreased the IWT from first diagnostic test to biopsy (20.9 to 17.7 days; P\u2005&amp;lt;\u20050.013).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Reflex testing intervention streamlines the workflow and significantly decreases IWT for resolving BI-RADS 0 abSM. The RefT intervention could be considered to improve efficiency at other breast centers.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jbi\/wbac043","type":"journal-article","created":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T16:04:50Z","timestamp":1662566690000},"page":"474-479","source":"Crossref","is-referenced-by-count":2,"title":["Decreasing the Interval Wait Times for Screening Mammogram Results Using the \u201cReflex Testing\u201d Algorithm"],"prefix":"10.1093","volume":"4","author":[{"given":"Julio","family":"Alvarenga","sequence":"first","affiliation":[{"name":"Yale School of Medicine , New Haven, CT , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6247-3047","authenticated-orcid":false,"given":"Jay","family":"Moran","sequence":"additional","affiliation":[{"name":"Yale School of Medicine , New Haven, CT , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anca","family":"Bulgaru","sequence":"additional","affiliation":[{"name":"Yale School of Medicine , New Haven, CT , USA"},{"name":"Yale School of Medicine, Smilow Cancer Center at Waterford , Waterford, CT , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meena S","family":"Moran","sequence":"additional","affiliation":[{"name":"Yale School of Medicine , New Haven, CT , USA"},{"name":"Yale School of Medicine, Smilow Cancer Center at Waterford , Waterford, CT , USA"},{"name":"Yale School of Medicine, Department of Therapeutic Radiology , New Haven, CT , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,9,7]]},"reference":[{"issue":"2","key":"2022101013564491700_CIT0001","doi-asserted-by":"crossref","first-page":"e62","DOI":"10.1200\/JOP.2012.000636","article-title":"What currently defines a breast center? 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