{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:40:21Z","timestamp":1790642421513,"version":"4.1.0"},"reference-count":52,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2018,11,5]],"date-time":"2018-11-05T00:00:00Z","timestamp":1541376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["MRSGT 0625301"],"award-info":[{"award-number":["MRSGT 0625301"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["PO1 2CA154292"],"award-info":[{"award-number":["PO1 2CA154292"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2019,2]]},"abstract":"\n Objective<\/jats:title>\n To investigate mammography facilities\u2019 follow\u2010up times, population vulnerability, system\u2010based processes, and association with cancer stage at diagnosis.<\/jats:p>\n <\/jats:sec>\n \n Data Sources<\/jats:title>\n \n Prospectively collected from San Francisco Mammography Registry (\n SFMR<\/jats:styled-content>\n ) 2005\u20102011, California Cancer Registry 2005\u20102012,\n SFMR<\/jats:styled-content>\n facility survey 2012.\n <\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n \n We examined time to biopsy for 17\u00a0750 abnormal mammogram results (\n BI<\/jats:styled-content>\n \u2010\n RADS<\/jats:styled-content>\n 4\/5), categorizing eight facilities as short or long follow\u2010up based on proportion of mammograms with biopsy at 30\u00a0days. We examined facility population vulnerability (race\/ethnicity, language, education), and system processes. Among women with a cancer diagnosis, we modeled odds of advanced\u2010stage (\u2265\n II<\/jats:styled-content>\n b) cancer diagnosis by facility follow\u2010up group.\n <\/jats:p>\n <\/jats:sec>\n \n Data Extraction Methods<\/jats:title>\n \n Merged\n SFMR<\/jats:styled-content>\n , Cancer Registry and facility survey data.\n <\/jats:p>\n <\/jats:sec>\n \n Principal Findings<\/jats:title>\n \n Facilities (N\u00a0=\u00a04) with short follow\u2010up completed biopsies by 30\u00a0days for 82% of mammograms compared with 62% for facilities with long follow\u2010up (N\u00a0=\u00a04) (\n P<\/jats:italic>\n \u00a0<\u00a00.0001). All facilities serving high proportions of vulnerable women were long follow\u2010up facilities. The long follow\u2010up facilities had fewer radiologists, longer biopsy appointment wait times, and less communication directly with women. Having the index abnormal mammogram at a long follow\u2010up facility was associated with higher adjusted odds of advanced\u2010stage cancer (\n OR<\/jats:styled-content>\n 1.45; 95%\n CI<\/jats:styled-content>\n 1.10\u20101.91).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Providing mammography facilities serving vulnerable women with appropriate resources may decrease disparities in abnormal mammogram follow\u2010up and cancer diagnosis stage.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1475-6773.13083","type":"journal-article","created":{"date-parts":[[2018,11,5]],"date-time":"2018-11-05T06:34:55Z","timestamp":1541399695000},"page":"226-233","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Mammography facilities serving vulnerable women have longer follow\u2010up times"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2204-5114","authenticated-orcid":false,"given":"Leah S.","family":"Karliner","sequence":"first","affiliation":[{"name":"Department of Medicine Division of General Internal Medicine University of California San Francisco San Francisco California"},{"name":"Multiethnic Health Equity Research Center University of California San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celia","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of General Internal Medicine University of California San Francisco San Francisco California"},{"name":"Multiethnic Health Equity Research Center University of California San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Livaudais\u2010Toman","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of General Internal Medicine University of California San Francisco San Francisco California"},{"name":"Multiethnic Health Equity Research Center University of California San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla","family":"Kerlikowske","sequence":"additional","affiliation":[{"name":"General Internal Medicine Section San Francisco Veteran Affairs Medical Center San Francisco California"},{"name":"Departments of Epidemiology and Biostatistics University of California San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,5]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"ACS.Cancer Facts & Figures 2016.2016.https:\/\/www.cancer.org\/research\/cancer-facts-statistics\/all-cancer-facts-figures\/cancer-facts-figures-2016.html. 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