![]() Radiologists working in private practice or mixed private/public practice report that BBMs are less likely to be available for use, and that BBM cost is more likely passed to the patient possibly disadvantaging patients who present to private radiology providers with imaging findings or conditions that would indicate BBM insertion under current national guidelines. Results suggest that BBM cost and availability influences both choice of biopsy type (core biopsy vs FNA) and choice to use a BBM. Half the respondents (133/266) reported that their decision to use BBMs would be influenced by the availability of insurance coverage to cover BBM costs. 47% of respondents report that the cost of BBMs is passed on to the patient, with all these respondents employed in a private or mixed private/public setting. 22% (58/266) of radiologists report that BBM cost influences choice of biopsy type (core biopsy vs fine needle aspirate), this finding was more frequent in those employed in private practice. Those employed in private practice were more likely to report that BBMs are not routinely available. Most (92%, 245/266) participants report that BBMs are routinely available at their place of practice. Survey questions addressed participant demographics and factors relating to BBM use. MethodsĪn online survey was disseminated to radiologists who identified ‘breast imaging’ as their area of practice in the Royal Australian and New Zealand College of Radiologists (RANZCR) customer relationship management system. This study aims to evaluate whether BBM cost and availability impacts BBM utilisation. Breast Screen Australia and Breast Screen Aotearoa guidelines recommend breast biopsy marker (BBM) use in indicated patients.
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