SynthesisJournal of general internal medicine2001
Efficacy of patient letter reminders on cervical cancer screening: a meta-analysis.
Synthesis in Journal of general internal medicine, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Interventions targeted at women to encourage the uptake of cervical screening.The Cochrane database of systematic reviews · 2021Pooled it
- Interventions targeted at women to encourage the uptake of cervical screening.The Cochrane database of systematic reviews · 2011Pooled it
- Interventions that increase use of Pap tests among ethnic minority women: a meta-analysis.Psycho-oncology · 2011Pooled it
- Tailored interventions to promote mammography screening: a meta-analytic review.Preventive medicine · 2007Pooled it
- A Randomized Controlled Trial of a Cervical Cancer Education Intervention for Latinas Delivered Through Interactive, Multimedia Kiosks.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Trial
- Randomized, controlled trial of a multimodal intervention to improve cancer screening rates in a safety-net primary care practice.Journal of general internal medicine · 2014Trial
- A randomized trial of population-based clinical decision support to manage health and resource use for Medicaid beneficiaries.Journal of medical systems · 2013Trial
- Evaluation of a worksite cervical screening initiative to increase Pap smear uptake in Malaysia: a cluster randomized controlled trial.BioMed research international · 2013Trial
- Improving fecal occult blood testing compliance using a mailed educational reminder.Journal of general internal medicine · 2009Trial
- Improving the uptake of cervical screening in pregnant and recently postnatal women: a quality improvement project.BMJ open quality · 2022Article
- Using a Frontline Staff Intervention to Improve Cervical Cancer Screening in a Large Academic Internal Medicine Clinic.Journal of general internal medicine · 2021Article
- Modelling tool to support decision-making in the NHS Health Check programme: workshops, systematic review and co-production with users.Health technology assessment (Winchester, England) · 2021Article
- Prevention of Cervical Cancer: Guideline of the DGGG and the DKG (S3 Level, AWMF Register Number 015/027OL, December 2017) - Part 2 on Triage, Treatment and Follow-up.Geburtshilfe und Frauenheilkunde · 2019Article
- Sociodemographic predictors are associated with compliance to a vaccination-reminder in 9692 girls age 14, Denmark 2014-2015.Preventive medicine reports · 2018Article
- Inadequate Systems to Support Breast and Cervical Cancer Screening in Primary Care Practice.Journal of general internal medicine · 2016Article
- The impact of supplementary narrative-based information on colorectal cancer screening beliefs and intention.BMC cancer · 2015Article
- Effect size and cost-effectiveness estimates of breast and cervical cancer screening reminders by population size through complete enumeration of Japanese local municipalities.BMC public health · 2014Article
- Papanicolaou tests: does lubricant reduce the quality or adequacy?Canadian family physician Medecin de famille canadien · 2011Article
- Formative evaluation of the accuracy of a clinical decision support system for cervical cancer screening.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo perform a meta-analysis on existing randomized controlled trials to investigate the efficacy of patient letter reminders on increasing cervical cancer screening using Pap smears.
methodsA search was conducted for all relevant published and unpublished studies between the years 1966 and 2000. Eligibility criteria included randomized controlled studies that examined populations due for Pap smear screening. The intervention studied was in the form of a reminder letter. The Mantel-Haenszel method was used to measure the summary effect of the intervention. A test for homogeneity using the Mantel-Haenszel method was performed.
resultsTen articles fulfilled the inclusion criteria, including one unpublished study. The test for homogeneity showed evidence of heterogeneity (chi2 = 31, 9 df, P <.001). An analysis for causes of heterogeneity was pursued. Division into subpopulations based on socioeconomic status resolved the heterogeneity (chi2 = 5.2, 8 df, P =.75). The studies evaluating those in lower socioeconomic groups had a smaller response (odds ratio [OR], 1.16; 95% confidence interval [CI], 0.99 to 1.35) than those studies using mixed populations (OR, 2.02; 95% CI, 1.79 to 2.28). The pooled odds ratio showed that patients who received the intervention were significantly more likely to return for screening than those who did not (OR, 1.64; 95% CI, 1.49 to 1.80).
conclusionsPatient reminders in the form of mailed letters increase the rate of cervical cancer screening. Patient letter reminders have less efficacy in lower socioeconomic groups.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.