Patterns of screening and access to care in women diagnosed with breast cancer in a safety-net system.

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Randomized trial shows gaps in screening mammography contribute to late-stage breast cancer in women, indicating a need for improved access.

Screening uptake correlates with tumor size and stage at diagnosis, highlighting a critical link.
50.6% of patients never had a screening mammogram, with younger patients showing the highest rates of non-uptake.
Assessment of electronic medical records revealed significant disparities in access to care among different demographics and insurance statuses, impacting screening rates significantly across the board for breast cancer patients before diagnosis. 468 new breast cancer cases were analyzed, with 27.8% between ages 40-49 and a marked difference in screening habits among these groups at Parkland Health.

Kanjwal et al. (2024) studied this question.

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Randomized trial shows gaps in screening mammography contribute to late-stage breast cancer in women, indicating a need for improved access.