Kozeta Filipi1, Alvis Imshtari1, Fjoralba Barjami1, Dritan Roshi1, Florida Beluli1
1 Institute of Public Health, Tirana, Albania.
Mobile mammography units are increasingly utilized to address barriers to mammography screening. The two mobile mammography, are logistically driven by IPH since 2015. Outreach throughout the Albania, the ability of these programs is to reach no screened populations, address disparities, and report on outcomes of screening performance. We conducted a retrospective review of screening and follow up data obtained for women screened on the mobile mammography unit, during the period 2015 to 2019 as part of the prevention program in Albania. In total, 23476 mammograms and/or clinical breast exams were conducted on 5 years with a mean age of 50.45 years; SD=10.57 with average 4600 per year. Women had either never been screened or had not had a screening in 5 years. The radiologist reviewing the studies scored each mammogram using the BIRAD system of coding 0–6. BIRAD. 0 scores were considered incomplete and required additional follow up. BIRAD Scores of 0–2 were considered normal, benign, or probably benign. Mammograms coded as BIRADS 3-6 were considered suspicious or malignant and required immediate referral to a diagnostic mammogram or specialty physician. More than 6% a suspicious mammogram finding (>BIRADS 3,4,5,6), 1% breast cancers were detected. The mobile outreach initiative successfully engaged many women who had not had a recent mammogram. Financial barrier and lack of access mammogram, were variables associated with none screened women.Keywords: breast cancer, disparities, mobile mammography, outcomes, underserved populations.