Miglioretti DL, Bissell MCS, Kerlikowske K, Buist DSM, Cummings SR, Henderson LM, Onega T, O'Meara ES, Rauscher GH, Sprague BL, Tosteson ANA, Wernli KJ, Lee JM, Lee CI. Assessment of a Risk-Based Approach for Triaging Mammography Examinations During Periods of Reduced Capacity. JAMA Netw Open. 2021 Mar 1;4(3):e211974. doi: 10.1001/jamanetworkopen.2021.1974. PMID: 33764423.
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An algorithm based on clinical indication, breast symptoms, breast cancer history, and age successfully maximized cancer detection, according to this PCORI-funded study‘s research team. Reporting in JAMA Network Open, the study found that 12 percent of mammograms with very high or high cancer detection rates accounted for 55 percent of detected cancers, while 44 percent of mammograms with very low cancer detection rate accounted for just 13 percent of detected cancers. The findings suggest that triaging individuals most likely to have cancer detected during periods of reduced capacity, such as the COVID-19 pandemic, could result in detecting the most cancers while performing the fewest examinations compared with a non-risk-based approach.