title: Breast pain and service satisfaction during digital mammography.
abstract: OBJECTIVE
  To determine the frequency and predisposing factors of breast pain felt during digital mammography, and factors associated with service satisfaction.
  
  
  METHODS
  A questionnaire was distributed to 1250 women immediately after their mammography. The outcomes assessed were a five-point scale of breast pain and rating of the satisfaction with the mammography service. Several factors potentially associated with breast pain and satisfaction were obtained from the questionnaire and analyzed. Multiple cumulative logit regression was used to identify independent, significant factors.
  
  
  RESULTS
  Breast pain was found to be absent in 22% of patients, slight in 50%, moderate in 23% and substantial or severe in only 4%. Significant factors associated with breast pain during mammography included higher educational level, having no children, having had prior mammography, impolite and rough radiographer and poorly performed mammography. Factors associated with satisfaction with the mammography service included older age, polite and gentle radiographer and well-performed mammography.
  
  
  CONCLUSIONS
  Radiographer delivery of the mammography service seemed to be the most important, modifiable reason for breast pain during mammography and dissatisfaction with the mammography service.
authors.affiliation: Department of Radiology, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand. cholatipp@hotmail.com
authors.forename: Cholatip
authors.initials: C
authors.lastname: Wiratkapun
authors.forename: Panuwat
authors.initials: P
authors.lastname: Lertsithichai
authors.forename: Bussanee
authors.initials: B
authors.lastname: Wibulpolprasert
authors.forename: Montira
authors.initials: M
authors.lastname: Leelaswattanakul
authors.forename: Jantarika
authors.initials: J
authors.lastname: Detakarat
authors.forename: Pannee
authors.initials: P
authors.lastname: Jungjai
mesh_terms: D000328:Adult; D001940:Breast; D005260:Female; D006801:Humans; D008327:Mammography / Q000523:psychology*; D008875:Middle Aged; D010146:Pain; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012044:Regression Analysis; D012307:Risk Factors; D011795:Surveys and Questionnaires