title: Image-detected 'probably benign' breast lesions: a significant reason for referral from primary care.
abstract: In Australia, and many health care provider systems, primary care physicians are the first to see women with breast symptoms and are responsible for making decisions on whether to investigate and when to refer to specialist teams. We present an audit of new patient referrals from primary care triaged to a 'low-risk' (low likelihood of cancer) clinic on the basis of benign findings. The most common reason for referral was 'breast lump' (38%) followed by 'image-detected' abnormality (26%.) We have identified that (outside of population screening services) many women are being referred from primary care to specialist clinics for management of screen-detected lesions considered benign on imaging. Further research is needed to identify the reasons for such referrals and to develop appropriate educational strategies and clinical policy, both for the primary care and the specialist breast practitioner.
authors.affiliation: NSW Breast Cancer Institute, Westmead Hospital, PO Box 143, Westmead NSW 2145, Sydney, Australia. meaganb@bci.org.au
authors.forename: M E
authors.initials: ME
authors.lastname: Brennan
authors.forename: N
authors.initials: N
authors.lastname: Houssami
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001315:Australia / Q000453:epidemiology; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000473:pathology; D002648:Child; D005194:Family Practice / Q000592:standards*; D005260:Female; D020793:Gatekeeping; D006801:Humans; D008485:Medical Audit; D008499:Medical Records; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000592:standards*; D011859:Radiography; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D018570:Risk Assessment