Development of a community mammography registry: experience in the breast screening program project.
OBJECTIVE
To assess the formation, implementation, and operation of a community mammography registry, which is a consolidated database for all mammography and breast biopsy reports within a community.


METHODS
A registry was created in Lee County, Fla. Mammography interpretation data were provided by 13 facilities and 38 radiologists organized in several private practice groups.


RESULTS
The registry contains data on 87,926 mammograms and 3,234 breast biopsies performed between June 1991 and May 1994. The registry calculates individual and group mammography interpretation accuracy measures, such as sensitivity, specificity, positive predictive value, false-positive and false-negative rates, and clinical outcome measures such as sizes and stages of malignant lesions detected.


CONCLUSIONS
The registry allows community radiologists and mammography practices to compare their outcomes with those of their local peers and to published data and encourages focused interventions for quality improvement based on objective experience.
Clark
R
R
Department of Radiology, H. Lee Moffitt Cancer Center, University of South Florida, Tampa 33612, USA.
Geller
B
B
Peluso
N
N
McVety
D
D
Worden
J K
JK
D000328:Adult; D001706:Biopsy; D001940:Breast / Q000473:pathology; D001943:Breast Neoplasms / Q000473:pathology / Q000517:prevention & control*; D005260:Female; D005431:Florida; D005544:Forecasting; D006123:Group Practice; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D007256:Information Systems; D008327:Mammography; D008403:Mass Screening; D008875:Middle Aged; D009367:Neoplasm Staging; D017063:Outcome Assessment, Health Care; D010818:Practice Patterns, Physicians'; D011331:Private Practice; D011785:Quality Assurance, Health Care; D012042:Registries; D012680:Sensitivity and Specificity