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Woodard S, Zamora K, Allen E, Choe AI, Chan TL, Li Y, Khorjekar GR, Tirada N, Destounis S, Weidenhaft MC, Hartsough R, Park JM. Breast papillomas in the United States: single institution data on underrepresented minorities with a multi-institutional update on incidence. Clin Imaging 2022; 82:21-28. [PMID: 34768222 DOI: 10.1016/j.clinimag.2021.10.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2021] [Revised: 09/24/2021] [Accepted: 10/26/2021] [Indexed: 01/07/2023]
Abstract
PURPOSE To assess the percentage of papillomas from all biopsies performed, comparing differences in patient age and race at a single institution. To assess trends in biopsied papillomas at institutions throughout the United States (US). METHODS This is a HIPPA-compliant IRB-approved single-institution (Southern1) retrospective review to assess race and age of all-modality-biopsied non-malignant papillomas as a percentage of all biopsies (percentage papillomas calculated as papilloma biopsies/all biopsies) from January 2012 to December 2019. To assess national variation, several academic or large referral centers were contacted to provide data regarding papilloma percentages, biopsy modalities, and trends in case numbers. Trends were estimated using the method of analysis of variance (ANOVA). Comparisons of differences in trends were assessed. RESULTS Southern1 institution demonstrated a significant association between race and percentage of papillomas (p < 0.0001). After adjustment for multiple comparisons with Bonferroni correction at 5% type I family error, the percentage of biopsied papillomas in Black and Asian patients remained significantly higher than in White patients (p < 0.0001 and p = 0.0032, respectively) using a Chi-square test. The regional variation in percentage of papillomas was found to be 3-9%. Southern1 institution showed a 7-year significant trend of increase in percentage of papillomas. Other institutions showed a decreasing trend (p < 0.05). CONCLUSION Black and Asian women had significantly higher papilloma percentages compared to white patients in our single institution review. This institution also showed a statistically significant trend of increasing percentage papillomas from 2012 to 2019. Multi-institutional survey found regional variation in percentage papillomas, ranging from 3% to 9%.
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Affiliation(s)
- Stefanie Woodard
- Department of Radiology, Breast Imaging and Intervention, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, United States of America.
| | - Kathryn Zamora
- Department of Radiology, Breast Imaging and Intervention, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, United States of America.
| | - Elizabeth Allen
- Department of Radiology, Breast Imaging and Intervention, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, United States of America.
| | - Angela I Choe
- Department of Radiology, Breast Imaging Section, Penn State Health Milton S. Hershey Medical Center, 30 Hope Dr Suite 1800, Hershey, PA 17033, United States of America.
| | - Tiffany L Chan
- UCLA Department of Radiological Sciences, Ronald Reagan UCLA Medical Center, 757 Westwood Plaza, Suite 1638, Los Angeles, CA 90095, United States of America.
| | - Yufeng Li
- Comprehensive Cancer Center, The University of Alabama at Birmingham, MT 644, 1717 11th Ave SI, Birmingham, AL 35294-4410, United States of America.
| | - Gauri R Khorjekar
- Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center and School of Medicine, 22 S Greene St, Baltimore MD-21201, United States of America.
| | - Nikki Tirada
- Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center and School of Medicine, 22 S Greene St, Baltimore MD-21201, United States of America.
| | - Stamatia Destounis
- Partner, Elizabeth Wende Breast Care (EWBC), Chair Clinical Research and Medical Outcomes EWBC, 170 Sawgrass Drive, Rochester, NY 14620, United States of America.
| | - Mandy C Weidenhaft
- Department of Radiology, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, United States of America.
| | - Richard Hartsough
- Touro Infirmary Imaging Center, 1401 Foucher Street, New Orleans, LA 70115, United States of America
| | - Jeong Mi Park
- Department of Radiology, Breast Imaging and Intervention, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, United States of America.
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Marco-Doménech S, Fernández-García P, Navarro-Ballester A, Cifrián-Pérez M, Escobar-Valero Á, Ibáñez-Gual M. Cost-effectiveness of hydrogel plugs in CT-guided lung biopsies. RADIOLOGIA 2019. [DOI: 10.1016/j.rxeng.2019.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Marco-Doménech SF, Fernández-García P, Navarro-Ballester A, Cifrián-Pérez M, Escobar-Valero Á, Ibáñez-Gual MV. Cost-effectiveness of hydrogel plugs in CT-guided lung biopsies. RADIOLOGIA 2019; 61:153-160. [PMID: 30772002 DOI: 10.1016/j.rx.2019.01.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2018] [Revised: 11/04/2018] [Accepted: 01/02/2019] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Using a hydrogel plug decreases the number of cases of pneumothorax and reduces the need for pleural drainage tubes in CT-guided lung biopsies. We aimed to analyze the cost-effectiveness of using hydrogel plugs. MATERIAL AND METHODS We analyzed 171 lung biopsies divided into three groups: Group 1 (n=22): fine-needle aspiration cytology (FNAC) without hydrogel plugs; Group 2 (n=89): FNAC with hydrogel plugs; and Group 3 (n=60): FNAC plus core-needle biopsy (CNB) with hydrogel plugs. We calculated the total costs (direct and indirect) in the three groups. We analyzed the percentage of correct diagnoses, the average and incremental rations, and the most cost-effective option. RESULTS Total costs: Group 1 = 1,261.28 + 52.65 = € 1,313.93; Group 2 = 1,201.36 + 67.25 = € 1,268.61; Group 3 = 1,220.22 + 47.20 = € 1,267.42. Percentage of correct diagnoses: Group 1 = 77.3%, Group 2 = 85.4%, and Group 3 = 95% (p = 0.04). Average cost-effectiveness ratio: Group 1 = 16.99; Group 2 = 14.85; and Group 3 = 13.34. CONCLUSIONS Group 3 was the best option, with the lowest average cost-effectiveness ratio; therefore, the most cost-effective approach is to do FNAC and CNB using a dehydrated hydrogel plug at the end of the procedure.
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Affiliation(s)
- S F Marco-Doménech
- Servicio de Radiología Diagnóstica y Terapéutica, Hospital General Universitario de Castellón, Castellón de la Plana, España; Unidad Predepartamental de Medicina, Universidad Jaume I (UJI), Castellón de la Plana, España.
| | - P Fernández-García
- Servicio de Radiología Diagnóstica y Terapéutica, Hospital General Universitario de Castellón, Castellón de la Plana, España; Unidad Predepartamental de Medicina, Universidad Jaume I (UJI), Castellón de la Plana, España
| | - A Navarro-Ballester
- Servicio de Radiología Diagnóstica y Terapéutica, Hospital General Universitario de Castellón, Castellón de la Plana, España
| | - M Cifrián-Pérez
- Servicio de Radiología Diagnóstica y Terapéutica, Hospital General Universitario de Castellón, Castellón de la Plana, España
| | - Á Escobar-Valero
- Unidad Predepartamental de Medicina, Universidad Jaume I (UJI), Castellón de la Plana, España
| | - M V Ibáñez-Gual
- IMAC. Departamento de Matemáticas. Universidad Jaume I (UJI), Castellón de la Plana, España
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Huang XC, Hu XH, Wang XR, Zhou CX, Wang FF, Yang S, Wang GY. A comparison of diagnostic performance of vacuum-assisted biopsy and core needle biopsy for breast microcalcification: a systematic review and meta-analysis. Ir J Med Sci 2018; 187:999-1008. [DOI: 10.1007/s11845-018-1781-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2017] [Accepted: 03/01/2018] [Indexed: 01/26/2023]
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