Breast Cancer: Current Research
Open Access

Abstract

Introduction: Screening for patients at high risk for breast cancer has become a major part of any breast health program. Unfortunately, patient compliance is generally low and involvement of physicians and potential patients is difficult to obtain. Methods: In April, 2016, a comprehensive, multi-disciplinary high risk screening program was instituted at a large community health system. Over the first three months, over 4000 screening mammograms were done and 432 patients identified as eligible for high risk screening. Of these, 114 were eligible for genetic counseling and testing. Unfortunately, a very high percentage of patients either refused or did not show for appointments. In July, 2016, therefore, a revamping of the program was undertaken with the goal of improving those numbers. A widespread educational effort was instituted, and a Breast Navigator was utilized more directly in the process. Results: A second 3-month pilot study (PS-B) was begun in August, 2016, and the results compared to the 3-month pilot prior to re-organization (PS-A). Total screening mammograms performed, percentage of patients eligible for high risk screening, and percentage of those eligible for genetic testing/counseling were not significantly different between PS-A and PS-B. Significantly fewer patients refused counseling in PS-B, however-20.7% vs. 35% in PS-A. There were also significantly fewer no-shows: 3.3% in PS-B vs. 16.2% in PS-A. Conclusions: Success in a high-risk screening program is dependent upon both patient information, patient and physician acceptance, and continuous and effective communication. This is a dynamic process that requires dedicated resources and personnel to be effective.

Biography

Email: JackSariego@ariahealth.org