Multilevel Factors Associated With Time to Biopsy After Abnormal Screening Mammography Results by Race and Ethnicity

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Abstract
Screening mammography can contribute to improved outcomes by identifying localized breast cancers when they can be treated with curative intent.1-3 However, diagnostic delays of 90 days or longer after a suspicious screening mammogram can reduce the benefits of early detection and are associated with greater proportion of late-stage disease, greater morbidity from more aggressive treatment, fewer life-years gained, larger tumor size, and positive lymph node status.4-6 Even with delays shorter than 90 days, women can experience clinically significant psychological distress while awaiting breast biopsy.7-9

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