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Radiologists with higher mammogram "recall rates" find more early cancers.
2004 APR 1 - (NewsRx.com & NewsRx.net) -- Radiologists who have higher "recall rates," referring more mammograms for further evaluation, are more likely to detect breast cancer, allowing detection of earlier disease, according to a new study.
The study challenges the current advice that radiologists should aim for the publicly recommended recall rate goal of 10%, according to an accompanying editorial, which says recall rates should be what is optimal for breast cancer diagnosis, "and not an arbitrary number."
The full study and the editorial became available on March 8, 2004, via Wiley InterScience (www.interscience.wiley.com/cancer-newsroom) and will appear in the April 15, 2004, print edition of Cancer [Recall and detection rates in screening mammography, a review of clinical experience: implications for practice guidelines. Cancer, April 15, 2004; 100(8)].
The impact of screening mammography on breast cancer diagnosis is widely accepted to have reduced mortality - by some estimates up to 44%. However, its financial impact, i.e., cost per diagnosis, has been long debated and consequently moves have been made to optimize screening mammography practice as measured by such statistical indices as sensitivity, specificity, and positive predictive value.
In the United States the recall rate - the percentage of women whose screening mammogram findings warrant further evaluation - is significantly higher than in Europe, adding to a perception of increased operational cost in the U.S. Some studies have reported that a higher recall rate does not result in more cancer detection. As a result, in the U.S., publicly ...
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Source: HighBeam Research, Radiologists with higher mammogram "recall rates" find more early...