Title: Disparities in the uptake of digital breast tomosynthesis for breast cancer screening: A retrospective cohort study
Country: United States
Age: Adult Only
Population: Multiple Groups
Care Setting: Outpatient Ambulatory and Primary Care
Clinical Setting: Breast Cancer Screening
Data Level: Single Institution
Data Type: EHR
Data Source: Local data
Conclusion: Disparities In All Minority Groups
Health OutComes Reported: No
Free Text Conclusion: Black patients and Asian patients were significantly less likely to have a screening exam with DBT compared to White patients.
Abstract: We present a retrospective cohort study evaluating the utilization and effectiveness of digital breast tomosynthesis (DBT) for breast cancer screening with a focus on racial differences. 46,236 females underwent screening mammography between 4/1/2013 and 3/30/2020, during which there was an increase in DBT utilization from 18.8% in year 1 to 89.6% in year 7. Black and Asian women were significantly less likely to have a screening study with DBT compared to White women. Overall, the DBT group had a lower recall rate (9.1% versus 11.2%, p< 0.001) and higher cancer detection rate (6.0 vs 4.1, p< 0.001) compared to the FFDM group.