Table 5.
Association of Initial Imaging for Breast Pain with Subsequent Clinical Utilization in Women with Normal Clinical Breast Exams, n = 512
| Imaging within 3 months of referral | Unadjusted OR* (95% CI†) | Adjusted‡ OR (95% CI) | ||
|---|---|---|---|---|
| Yes, n = 75 | No, n = 437 | |||
| n (%) | n (%) | |||
| Follow-up imaging within 12 months | ||||
| Yes | 40 (53.3) | 45 (10.3) | 9.4 (5.5, 16.3) | 10.4 (5.5, 19.2) |
| No | 35 (46.7) | 392 (89.7) | ||
| Follow-up biopsy within 12 months | ||||
| Yes | 5 (6.7) | 9 (2.1) | 3.4 (1.1, 10.4) | 3.7 (1.1, 12.2) |
| No | 70 (93.3) | 428 (97.9) | ||
| Sum of visits over 12 months | ||||
| 0 | 30 (40.0) | 326 (74.6) | 3.7 (2.3, 6.0) | 2.3 (1.4, 3.9) |
| 1 | 32 (42.7) | 75 (17.1) | ||
| 2+ | 13 (17.3) | 36 (8.2) | ||
| Clinical services utilization score§ | ||||
| 0 | 2 (2.7) | 325 (74.4) | 27.4 (15.4, 48.6) | 23.8 (12.9, 44.0) |
| 1 | 23 (30.7) | 74 (16.9) | ||
| 2+ | 50 (66.7) | 38 (3.7) | ||
* 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