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Moseley TW, Stanley A, Wei W, et al. Impact on Clinical Management of After-Hours Emergent or Urgent Breast Ultrasonography in Patients with Clinically Suspected Breast Abscesses. Diagnostics (Basel). 2018;8(1)doi: 10.3390/diagnostics8010017.
Moseley, T. W., Stanley, A., Wei, W., & Parikh, J. R. (2018). Impact on Clinical Management of After-Hours Emergent or Urgent Breast Ultrasonography in Patients with Clinically Suspected Breast Abscesses. Diagnostics (Basel, Switzerland), 8(1), . https://doi.org/10.3390/diagnostics8010017
Moseley, Tanya W, et al. "Impact on Clinical Management of After-Hours Emergent or Urgent Breast Ultrasonography in Patients with Clinically Suspected Breast Abscesses." Diagnostics (Basel, Switzerland) vol. 8,1 (2018). doi: https://doi.org/10.3390/diagnostics8010017
Moseley TW, Stanley A, Wei W, Parikh JR. Impact on Clinical Management of After-Hours Emergent or Urgent Breast Ultrasonography in Patients with Clinically Suspected Breast Abscesses. Diagnostics (Basel). 2018 Feb 23;8(1). doi: 10.3390/diagnostics8010017. PMID: 29473859; PMCID: PMC5872000.
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Diagnostics (Basel). 2018 Feb 23;8(1). doi: 10.3390/diagnostics8010017.

Impact on Clinical Management of After-Hours Emergent or Urgent Breast Ultrasonography in Patients with Clinically Suspected Breast Abscesses.

Diagnostics (Basel, Switzerland)

Tanya W Moseley, Ashley Stanley, Wei Wei, Jay R Parikh

Affiliations

  1. Section of Breast Imaging, Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1155 Pressler St., Unit 1350, Houston, TX 77030, USA. [email protected].
  2. Section of Breast Imaging, Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1155 Pressler St., Unit 1350, Houston, TX 77030, USA. [email protected].
  3. Radiology Partners, CHI St. Luke's Way, The Woodlands, Houston, TX 77384, USA. [email protected].
  4. Department of Biostatistics, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USA. [email protected].
  5. Section of Breast Imaging, Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1155 Pressler St., Unit 1350, Houston, TX 77030, USA. [email protected].

PMID: 29473859 PMCID: PMC5872000 DOI: 10.3390/diagnostics8010017

Abstract

Newly diagnosed breast abscesses are generally treated as a medical emergency that may necessitate immediate interventional treatment. At our institution, there is no in-house after-hours coverage for breast ultrasonography. We could find no peer-reviewed studies on the cost-effectiveness or clinical management impact of on-call ultrasound technologist coverage for imaging of breast abscesses. The purposes of this study were to determine the incidence of breast abscess in patients with clinical findings highly suggestive of abscess, identify clinical factors associated with breast abscess in such patients, and determine the impact of after-hours emergent or urgent breast ultrasonography on the clinical management of breast abscesses in both outpatients and inpatients. We retrospectively reviewed 100 after-hours breast ultrasound studies performed at our tertiary care center from 2011 to 2015 for evaluation of a suspected breast abscess. Only 26% of our patients with clinically suspected abscess ultimately had a confirmed abscess. Factors associated with breast abscess were a palpable abnormality and a history of breast surgery within the eight weeks before presentation. After-hours diagnosis of an abscess was associated with after-hours clinical intervention. Of the 74 patients in whom after-hours ultrasound imaging showed no evidence of abscess, only three patients underwent after-hours drainage. Our findings support overnight and weekend breast ultrasound coverage in large tertiary care centers.

Keywords: after-hours imaging; breast abscess; breast ultrasound; urgent or emergent imaging

Conflict of interest statement

The authors declare no conflicts of interest.

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