title: Patient compliance in mobile screening mammography.
abstract: OBJECTIVE
  We assessed the follow-up behavior of women who had abnormal results of screening mammograms taken on a mobile van.
  
  
  METHODS
  A retrospective cohort study was conducted between 1988 and 1991 of all women served by a mobile mammography van in rural North Carolina. Compliance with radiologist recommendations for follow-up was assessed through review of patient records and mail surveys of patients with incomplete records.
  
  
  RESULTS
  Compliance was 44% for negative or benign mammograms, 57% for indeterminate mammograms, and 62% for probably malignant or malignant mammograms. Women who had a previous mammogram or had a malignant finding were more likely to comply with follow-up recommendations (p < .0001) than women with normal or benign results and no history of mammography. Compliers and noncompliers did not differ with respect to family history of breast cancer or personal history of breast discomfort.
  
  
  CONCLUSIONS
  Compliance with recommendations in this setting was lower than expected. This may be because rural women using mobile van mammography have limited access to the resources needed for appropriate follow-up. Further research is needed to examine explanations for poor compliance in this setting.
authors.affiliation: Department of Radiology, University of North Carolina School of Medicine, Chapel Hill, USA.
authors.forename: E D
authors.initials: ED
authors.lastname: Pisano
authors.forename: B C
authors.initials: BC
authors.lastname: Yankaskas
authors.forename: S V
authors.initials: SV
authors.lastname: Ghate
authors.forename: M W
authors.initials: MW
authors.lastname: Plankey
authors.forename: J T
authors.initials: JT
authors.lastname: Morgan
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008327:Mammography / Q000379:methods*; D008875:Middle Aged; D008952:Mobile Health Units; D009657:North Carolina; D010349:Patient Compliance; D012424:Rural Population