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Randomized Controlled Trial
. 2016 Jan 19;114(2):171-6.
doi: 10.1038/bjc.2015.451.

A randomised trial of the effect of postal reminders on attendance for breast screening

Prue C Allgood  1 , Anthony J Maxwell  2 , Sue Hudson  3 , Judith Offman  1 , Gillian Hutchison  4 , Cathryn Beattie  5 , Raquel Tuano-Donnelly  6 , Anthony Threlfall  7 , Tina Summersgill  6 , Lesley Bellis  5 , Collette Robinson  4 , Samantha Heaton  4 , Julietta Patnick  8 , Stephen W Duffy  1
Affiliations
Randomized Controlled Trial

A randomised trial of the effect of postal reminders on attendance for breast screening

Prue C Allgood et al. Br J Cancer. .

Abstract

Background: Some women make an informed choice not to attend breast screening, whereas others may have forgotten about the appointment. We report on a randomised trial that investigates whether a reminder letter affects attendance.

Methods: Women scheduled for a breast screening appointment were randomised to either receive a reminder letter a few days before their breast screening appointment in addition to the standard invitation letter (intervention) or not (control). The primary outcome was attendance within 30 days of the first offered appointment. Secondary outcomes were attendance within 90 and 180 days.

Results: In all, 11,383 (49.9%) women were randomised to the intervention and 11,445 (50.1%) to the control. In the intervention arm, 7759 (68.2%) attended within 30 days of the first offered appointment compared with 7349 (64.2%) in the control arm. This difference was significant (P<0.001). The odds ratio (OR) (95% confidence interval) for the primary end point was 1.19 (1.13-1.26). This was not significantly affected by age, socioeconomic status or type of screen (prevalent or incident). Secondary endpoint analyses supported these results. Results did differ, however, between the different centres studied.

Conclusions: This study found that postal reminders increase breast screening uptake, and could be practicable to implement in the NHS Breast Screening Programme.

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Figures

Figure 1
Figure 1
Study procedure (adapted from the CONSORT Transparent Reporting of Trials).
See this image and copyright information in PMC

References

    1. Bonfill Cosp X, Marzo Castillejo M, Pladevall Vila M, Marti J, Emparanza JI (2001) Strategies for increasing the participation of women in community breast cancer screening. Cochrane Database of Syst Rev 1: DC002943. - PMC - PubMed
    1. Camilloni L, Ferroni E, Cendales BJ, Pezzarossi A, Furnari G, Borgia P, Guasticchi G, Giorgi Rossi P (2013) Methods to increase participation Working Group. Methods to increase participation in organised screening programmes: a systematic review. BMC Public Health 13: 464. - PMC - PubMed
    1. Communities and Local Government (2010) Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/fil... accessed on 16 September 2015.
    1. Duffy SW, Ming-Fang Yen A, Hsiu-Hsi Chen T, Li-Sheng Chen S, Yueh-Hsia Chiu S, Jean-Yu Fan J, Smith RA, Vitak B, Tabar L (2012) Long-term benefits of breast screening. Breast Cancer Manag 1: 313–338.
    1. Fleming P, Mooney T, Fitzpatrick P (2012) Impact of second reminder invitation on uptake of screening and cancer detection in BreastCheck. Ir Med J 105: 7–9. - PubMed

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