As a patient advocate, I am often asked how to choose a good breast care center. I've compiled a list of questions for women to ask prospective centers.
As a patient advocate, I am often asked how to choose a good breast care center. I've compiled a list of questions for women to ask prospective centers.
While answers to these questions may lead to a feeling of empowerment among women, the questions can also be instructive to breast imagers themselves.
With the Mammography Quality Standards Act up for reauthorization this year, it's possible the federal government will include more stringent outcomes metrics and oversight of adjunctive breast imaging modalities.
If that is the case-and even if it's not-breast imaging centers can only improve their quality by paying close attention to the detail in these questions.
MQSA requires radiologists to read only 480 mammograms per year to remain qualified. Radiologists who specialize in breast care have better detection rates, recall rates, positive predictive value rates, and smaller tumor size detection than general radiologists who read only the minimum required number of mammograms.
The average/median size of screen-detected breast cancers should be less than 15 mm.
It should be less than 8%, as radiologists who read more mammograms have fewer false positives.
The accepted range is 25% to 40%. The more experienced the dedicated breast imager, the higher the PPV.
It is the pathologist who determines the type and extent of any cancer, and thus an accurate histological report is important in establishing what the treatment team will offer to the patient in planning therapy.
The nurse coordinator helps guide the patient through the emotional chaos, the systems and appointments from the diagnostic through the treatment/rehabilitation phases of care, and acts as the patient's advocate.
This paradigm facilitates improved diagnostic workups that are not delayed and provide the latest diagnostic information.
This plan allows for patient-centered care with efficient patient flow to coordinate and expedite care. The patient doesn't have to travel to various locations and get lost in the system.
Such a process provides a conclusive plan for the patient's treatment, which is presented to the patient. She is aware that all disciplines have been involved and can make her decision based upon this knowledge.
Ms. Wagner is a retired ICU and home IV therapy nurse now working as a full-time patient advocate informing women of their breast biopsy choices and where to receive quality breast care. She has testified before Congress on breast screening topics.
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