Breast MRI ordering practices in a large health care network.
The purpose of this study was to evaluate providers' ordering practices and perceptions of breast magnetic resonance imaging (MRI) in an academic network in order to better understand and educate a referral base. An online survey was distributed to primary care providers (PCPs) and specialists in ou...
| Publicado en: | Breast Journal Vol. 25; no. 2; pp. 262 - 269 |
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| Autores principales: | , , , , , , |
| Formato: | questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135059554&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135059554 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1075122X ET6 jtl: Breast Journal issn: 1075122X maglogo: Y pubinfo: dt: Mar2019 vid: 25 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 135059554 135059554 135059554 10.1111/tbj.13198 135059554 ppf: 262 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Breast MRI ordering practices in a large health care network. aug: au: Phillips, Jordana Mehta, Tejas S. Brook, Alexander Slanetz, Priscilla J. Dialani, Vandana Brown, Ann L. Sharpe, Richard E. affil: Division of Breast Imaging, Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston MA, USA sug: subj: Magnetic Resonance Imaging Methods Breast Neoplasms Diagnosis Medical Practice Referral and Consultation Education Physicians, Family Psychosocial Factors Human Academic Medical Centers Surveys Cancer Screening Breast Neoplasms Risk Factors Magnetic Resonance Imaging Legislation and Jurisprudence Massachusetts Self Report Radiology Service Magnetic Resonance Imaging Utilization Health Resource Utilization Perception Female Radiologists Female ab: The purpose of this study was to evaluate providers' ordering practices and perceptions of breast magnetic resonance imaging (MRI) in an academic network in order to better understand and educate a referral base. An online survey was distributed to primary care providers (PCPs) and specialists in our hospital and community practices. Questions included provider demographics, current ordering practices, challenges to ordering, and perceptions about breast MRI. Of 525 ordering providers, 134 responded (26% response rate). Of 134 providers, 57 (42%) order breast MRI in practice. Of those who do not, the most consistent reason was a lack of familiarity with the use of breast MRI (32/77 [42%] of cases). Of 57 cases, 45 (79%) order less than 10 exams annually. The most frequent indication is for high‐risk screening (40/47 [84%]). PCPs order fewer breast MRI compared with specialists (P = 0.01). Both PCPs and specialists have mixed perceptions of the clinical utility of breast MRI. However, 30% of all providers are ordering more breast MRI since the enactment of breast density legislation in Massachusetts. Furthermore, 29% report they would order breast MRI more often to screen women with dense breasts if there was a low cost option. Referring provider surveys are useful tools for assessing a radiology practice. Our study suggests a growing clinical interest in breast MRI for screening; however, there is a need for provider education on the clinical utility of breast MRI. Increasing the radiologist's role in targeted educational interventions may help improve awareness and lead to more appropriate utilization of resources. pubtype: Academic Journal doctype: questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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