Patient, facility, and community determinants of timely follow up after abnormal screening mammograms in Appalachia: A multilevel analysis.

ABSTRACT:

Purpose

Examine the extent that community and organizational characteristics influence mammogram recall and biopsy rates in Appalachia.

Methods

We collected facility survey and Medicare claims (2016-2018) data on 191 FDA-registered breast imaging organizations serving 2.65 million women in 5 Appalachian states (KY, OH, PA, VA, and WV). Primary outcomes were recall rates and time to recall and biopsy. Generalized linear mixed-effects models (GLMM) (patient level with facility random intercepts) and facility-level structural equation models were used to evaluate multilevel predictors of recall, biopsy, and timeliness. Imaging center service areas (SAs) were constructed using Medicare claims for patient, facility, and community characteristics utilization patterns. Mammogram se

SUBMITTER: Anderson RT 

PROVIDER: S-EPMC12780644 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature