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Office Practice Mammography Recall Rates Lower Than Hospitals

By MedImaging International staff writers
Posted on 30 Jul 2013

The rate at which women get a call back for additional imaging studies after screening mammography may be higher at hospitals than at community office practices, chiefly due to differences among the patients.

The new findings were published online July 2013 in the journal Radiology. The findings highlight the limitations of recall rates as a quality gauge for breast cancer screening, according to the researchers. Recall rates for mammography indicate to the percentage of women who undergo screening and are called back for additional testing. Since recalls involve anxiety for patients and additional costs, there have been efforts to keep these rates as low as possible.

“Recall rate by itself is used as a quality indicator by the federal government,” said Ana Lourenco, MD, radiologist at the Rhode Island Hospital (Providence, RI, USA) and the Alpert School of Medicine at Brown University (Providence, RI, USA) “Therefore, it remains important to understand the factors that influence recall rate for individuals and practices.”

To better clarify these factors, Dr. Lourenco and colleagues reviewed data between May 2008 and September 2011 for five radiologists with specialties in breast imaging who interpreted mammograms at a community office practice and an academic referral hospital. Both sites utilized full-field digital mammography and batch screening interpretation.

The radiologists interpreted a total of 74,297 screening mammograms between both sites during the study. The total number of patients recalled was 5,799, for an overall recall rate of 7.8%. At 6.9%, the recall rate at the community site was significantly lower than the hospital rate of 8.6%. “For every radiologist, the recall rate was significantly lower in community practice than in the hospital setting,” noted Dr. Lourenco.

When the researchers compared the two groups of patients, they found some important differences that could have influenced recall rates. Significantly, more of the hospital patients had undergone earlier biopsies and surgeries. Slightly more than 13% of the patients at the hospital site had a history of surgery, compared with 5.6% at the community site, and 7% of patients at the hospital had undergone a biopsy, compared with 1.4% at the community site.

“These patients may have more complicated mammograms to interpret or may be at higher risk for cancer than patients at the community site,” Dr. Lourenco said. “Higher risk patients would be expected to increase the recall rate of the population.”

Another key factor was the age of the patients. The mean age of the patients at the hospital site was 56 years, compared with a mean age of 63 years at the private practice. “Younger age has been associated with higher recall rates,” Dr. Lourenco said.

Even though Dr. Lourenco commended efforts to develop quality metrics for breast cancer screening, she stressed that recall rates are affected by factors out of the radiologist’s control, and therefore, cannot alone determine the quality of a radiologist or an institution.

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65 (597.95379638672): SELECT fid FROM jos_deeppockets WHERE id=294747483 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294747483 AND published='1' LIMIT 1

66 (!!!!! 1199.9607086182): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

67 (79.870223999023): select jos_twitters.link from jos_twitters where cat=10

68 (36.001205444336): select jos_facebook.link from jos_facebook where cat=10

69 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

70 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

71 (40.054321289062): SELECT fid FROM jos_deeppockets WHERE id=294747483 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294747483 AND published='1' LIMIT 1

72 (30.994415283203): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

73 (293.01643371582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (887.15553283691): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (524.99771118164): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

76 (467.06199645996): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (382.1849822998): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (142.09747314453): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (483.98971557617): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (380.9928894043): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (!!!!! 1329.8988342285): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (55.074691772461): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (53.167343139648): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

93 (93.936920166016): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (189.06593322754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

108 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

109 (97.036361694336): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294747483 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (54.121017456055): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294747483 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (129.93812561035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

112 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

113 (94.175338745117): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294747483 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (392.19856262207): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294747483 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (642.77648925781): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

116 (422.95455932617): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

117 (379.80079650879): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

118 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

119 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

120 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

121 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

122 (45.7763671875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

123 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

124 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

125 (373.12507629395): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 26111.125946045): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

127 (647.06802368164): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747483 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747483 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (69.141387939453): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

129 (36.954879760742): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

130 (56.982040405273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

131 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

132 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

133 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

134 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

135 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

136 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

137 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

138 (607.96737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (442.9817199707): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (52.213668823242): SELECT name FROM jos_deeppockets WHERE id=211

141 (38.862228393555): SELECT name FROM jos_deeppockets WHERE id=211

142 (790.11917114258): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (549.0779876709): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

144 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

145 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

146 (!!!!! 9985.9237670898): TRUNCATE TABLE jos_trademed_module

147 (113.96408081055): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294747483 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (61.03515625): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294747483 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (!!!!! 1074.0756988525): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

152 (55.789947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

153 (!!!!! 1503.9443969727): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

154 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

155 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

156 (40.769577026367): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747483 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747483 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (38.14697265625): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

158 (32.901763916016): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

159 (39.815902709961): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

161 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747483 AND published='1' LIMIT 1

162 (55.074691772461): select jos_twitters.link from jos_twitters where cat=10

163 (62.942504882812): select jos_facebook.link from jos_facebook where cat=10

164 (42.915344238281): select jos_google_plus.link from jos_google_plus where cat=10

165 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

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