Table 4.
Association of Initial Imaging for Breast Pain with Subsequent Clinical Utilization in Women with Abnormalities Other than Mass on Clinical Breast Exam, n = 293
| Imaging within 3 months of referral | Unadjusted OR* (95% CI†) | Adjusted‡ OR (95% CI) | ||
|---|---|---|---|---|
| Yes, n = 79 | No, n = 214 | |||
| n (%) | n (%) | |||
| Follow-up imaging within 12 months | ||||
| Yes | 41 (51.9) | 23 (10.7) | 8.5 (4.6, 15.8) | 7.6 (3.3, 17.1) |
| No | 38 (48.1) | 191 (89.3) | ||
| Follow-up biopsy within 12 months | ||||
| Yes | 7 (8.9) | 5 (2.3) | 4.1 (1.3, 13.2) | 1.8 (0.4, 7.6) |
| No | 72 (91.1) | 209 (97.6) | ||
| Sum of visits over 12 months | ||||
| 0 | 39 (49.4) | 163 (76.2) | 3.3 (1.9, 5.6) | 2.1 (1.1, 4.2) |
| 1 | 27 (34.2) | 39 (18.2) | ||
| 2+ | 13 (16.5) | 12 (5.6) | ||
| Clinical services utilization score§ | ||||
| 0 | 1 (1.3) | 162 (75.7) | 39.3 (19.8, 77.9) | 28.4 (13.2, 61.3) |
| 1 | 30 (38.0) | 39 (18.2) | ||
| 2+ | 48 (60.7) | 13 (6.1) | ||
* OR Odds ratio
† CI Confidence interval
‡ Adjusted for age, family history, and provider
§ Clinical services utilization score: sum of diagnostic follow-up imaging, biopsies, and visits over 12 months of follow-up