Mammography status using patient self-reports and computerized radiology database

Am J Prev Med. 1999 Oct;17(3):203-6. doi: 10.1016/s0749-3797(99)00068-9.


Objectives: This study sought to compare self-reported mammography use of low-income women utilizing an inner-city public hospital with a computerized hospital database for tracking mammography use.

Methods: A survey of all age-eligible women using the hospital's internal medicine clinic was done; responses were matched with the radiology database. We examined concordance among the two data sources.

Results: Concordance between self-report and the database was high (82%) when using "ever had a mammogram at the hospital," but low (58%) when comparing self-reported last mammogram with the information contained in the database.

Conclusions: Disagreements existed between self-reports and the database. Because we sought to ensure that women would know exactly what a mammogram entailed by including a picture of a woman having a mammogram, it is possible that women's responses were accurate, leading to concerns that discrepancies might be present in the database. Physicians and staff must ensure that they understand the full history of a woman's experience with mammography before recommending for or against the procedure.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Female
  • Hospitals, Urban
  • Humans
  • Mammography / statistics & numerical data*
  • Middle Aged
  • Radiology Information Systems*
  • Washington