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. Author manuscript; available in PMC: 2013 Jun 21.
Published in final edited form as: Med Care. 2011 Jan;49(1):67–75. doi: 10.1097/MLR.0b013e3181f380e0

Table 3b.

Adjusted sensitivity, false positive rate, and cancer detection rate for diagnostic mammography by vulnerability index of the facility at which the mammography was performed*

Evaluation of breast problem

Sensitivity False positive rate CDR** (per 1,000 exams)

Non-vulnerable (%) Vulnerable (%) OR (95% CI)*** Non-vulnerable (%) Vulnerable (%) OR (95% CI)*** Non-vulnerable Vulnerable OR (95% CI)***
Vulnerability Index
Education 81.9 79.8 0.87 (0.63, 1.20) 6.1 8.2 1.39 (1.08, 1.79) 36.5 39.6 1.09 (0.88, 1.35)
Race/ethnicity 81.5 81.1 0.97 (0.67, 1.42) 6.2 8.0 1.32 (0.98, 1.76) 35.9 44.3 1.25 (0.98, 1.60)
Rural/urban residence 80.4 83.5 1.24 (0.93, 1.66) 5.7 8.5 1.55 (1.27, 1.88) 34.6 42.9 1.26 (1.05, 1.50)
Income 81.6 80.9 0.95 (0.70, 1.29) 6.0 7.8 1.34 (1.08, 1.66) 35.6 41.0 1.16 (0.97, 1.40)
Composite Vulnerability Score Sensitivity False positive rate CDR
0 Reference 81.2 Reference 5.4 Reference 33.5
1 1.10 (0.78, 1.55) 82.5 1.31 (1.06, 1.63) 6.9 1.15 (0.94, 1.41) 38.3
2 1.01 (0.69, 1.48) 81.3 1.39 (1.08, 1.78) 7.3 1.25 (0.99, 1.57) 41.2
3 0.89 (0.60, 1.32) 79.4 1.71 (1.27, 2.32) 8.8 1.28 (0.98, 1.67) 42.2
4 1.72 (0.70, 4.20) 87.9 2.12 (1.36, 3.32) 10.6 1.40 (0.91, 2.14) 45.9
p for trend = 0.36 p for trend < 0.01 p for trend = 0.10
*

Adjusted for mammography-level registry, age (5-year bands), time since previous mammography, and BI-RADS breast density.

**

CDR = Cancer detection rate

***

Non-vulnerable is taken to be the reference group.

Composite vulnerability scores were calculated by adding 1 for each of the vulnerability indices met.