Supply and Quality of Screening Mammography: A Radiologist's View
Authors: Robert McLelland
Journal: Annals of Internal Medicine (1990)

Editorials1 October 1990Supply and Quality of Screening Mammography: A Radiologist's ViewRobert McLelland, MDRobert McLelland, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-113-7-490 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThere are increasing concerns about rising costs and inadequate distribution of medical care and services such as mammography in the United States. The charge for mammography is a deterrent to its widespread use (1). Frequently the charges are the same for screening mammography (asymptomatic women) and that done for diagnostic or problem-solving purposes (symptomatic women), even though the former often requires considerably less time and effort (2). This is especially true when both types of examination are done at the same location. Mass screening mammography, however, represents an improvement; by examining more women per mammography machine per day, costs can...References1. . 1989 Survey of physician's attitudes and practices in early cancer detection. CA. 1990;50:77-101. Google Scholar2. McLelland R. Low-cost mass screening with mammography as a means of reducing overall mortality from breast cancer. Radiol Clin North Am. 1987;25:1007-13. MedlineGoogle Scholar3. BirdMcLelland RR. How to initiate and operate a low-cost screening mammography center. Radiology. 1986;161:43-7. CrossrefMedlineGoogle Scholar4. . Screening mammography: low-cost services do not compromise quality. Washington, DC: General Accounting Office; 1990. Google Scholar5. BrownKesslerRueter MLF. Is the supply of mammography machines outstripping need and demand? An economic analysis. Ann Intern Med. 1990;113:547-52. LinkGoogle Scholar6. McLelland R. Screening mammography: the role of the obstetrician/ gynecologist. ObstetricslGynecology Reports. 1990;2:82-90. Google Scholar7. McLellandHendrickZinningerWilcox RRMP. The importance of the American College of Radiology Mammography Accreditation Program. Am J Public Health. 1990; [In press]. Google Scholar8. ThompsonKesslerBass GLL. Breast cancer screening legislation in the United States: a commentary. Am J Public Health. 1989;79:1541-3. CrossrefMedlineGoogle Scholar9. Howard J. Using mammography for cancer control: an unrealized potential. CA. 1987;37:33-48. Google Scholar10. . Screening mammography: a missed clinical opportunity? JAMA. 1990;264: 54-8. CrossrefMedlineGoogle Scholar11. StomperGelman PR. Mammography in symptomatic and asymptomatic patients. HematollOncol Clin North Am. 1989;3: 611-40. CrossrefMedlineGoogle Scholar12. Mushlin A. Diagnostic tests in breast cancer: clinical strategies based on diagnostic probabilities. Ann Intern Med. 1985;103:79-85. LinkGoogle Scholar13. Freeman H. Cancer in the socio-economically disadvantaged. CA. 1989;39:266-88. Google Scholar14. SicklesOminskySollitto ESR. Medical audit of a rapid-throughput mammography screening practice: methodology and results of 27114 examinations. Radiology. 1990;175:323-7. CrossrefMedlineGoogle Scholar15. ClarkKingWorden RPJ. Mammography registry: considerations and options. Radiology. 1989;171:91-3. CrossrefMedlineGoogle Scholar16. Feig S. Decreased breast cancer mortality through mammographie screening: results of clinical trials. Radiology. 1988;167:659-65. CrossrefMedlineGoogle Scholar17. McLelland R. Challenges and progress with mammography. Cancer. 1989;64:2664-6. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: University of North Carolina School of Medicine Chapel Hill, NC 27599-7510 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 October 1990Volume 113, Issue 7Page: 490-491KeywordsDiagnostic radiologyMammographyRadiologists Issue Published: 1 October 1990 PDF DownloadLoading ...