SynthesisBMJ (Clinical research ed.)2003
Effects of communicating individual risks in screening programmes: Cochrane systematic review.
Synthesis in BMJ (Clinical research ed.), 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02093039 (Informed Decision Users of the Health System and Participation in Organized Screening for Breast Cancer), which is not on this map. Cited by 32 papers, 2 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.
Informed Decision Users of the Health System and Participation in Organized Screening for Breast Cancer : a Qualitative Analysis
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Cancer risk assessment tools in primary care: a systematic review of randomized controlled trials.Annals of family medicine · 2015Pooled it
- Personalised risk communication for informed decision making about taking screening tests.The Cochrane database of systematic reviews · 2013Pooled it
- Clinical utility of family history for cancer screening and referral in primary care: a report from the Family Healthware Impact Trial.Genetics in medicine : official journal of the American College of Medical Genetics · 2011Trial
- The impact of a novel computer-based decision aid on shared decision making for colorectal cancer screening: a randomized trial.Medical decision making : an international journal of the Society for Medical Decision MakingTrial
- Gender Effects on the Impact of Colorectal Cancer Risk Calculators on Screening Intentions: Experimental Study.JMIR formative research · 2023Article
- Breast cancer: a randomized controlled trial assessing the effect of a decision aid on mammography screening uptake: study protocol.Frontiers in oncology · 2023Article
- A Validated Risk Prediction Model for Breast Cancer in US Black Women.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021Article
- Exploring education preferences of Australian women regarding long-term health after hypertensive disorders of pregnancy: a qualitative perspective.BMC women's health · 2021Article
- Engaging Women with Limited Health Literacy in Mammography Decision-Making: Perspectives of Patients and Primary Care Providers.Journal of general internal medicine · 2021Article
- Adherence of Internet-Based Cancer Risk Assessment Tools to Best Practices in Risk Communication: Content Analysis.Journal of medical Internet research · 2021Article
- Two Clinical Prediction Tools to Improve Tuberculosis Contact Investigation.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020Article
- Exploring health literacy and preferences for risk communication among medical oncology patients.PloS one · 2018Article
- Using an Internet-Based Breast Cancer Risk Assessment Tool to Improve Social-Cognitive Precursors of Physical Activity.Medical decision making : an international journal of the Society for Medical Decision Making · 2017Article
- The perceived acceptability of the DEPPA patient assessment tool: A questionnaire survey of Denplan Excel patients.British dental journal · 2017Article
- The WISDOM Study: breaking the deadlock in the breast cancer screening debate.NPJ breast cancer · 2017Review
- Challenges of diabetes prevention in the real world: results and lessons from the Melbourne Diabetes Prevention Study.BMJ open diabetes research & care · 2015Article
- The impact of personalized risk feedback on Mexican Americans' perceived risk for heart disease and diabetes.Health education research · 2014Article
- The value of personalised risk information: a qualitative study of the perceptions of patients with prostate cancer.BMJ open · 2013Article
- Components of family history associated with women's disease perceptions for cancer: a report from the Family Healthware™ Impact Trial.Genetics in medicine : official journal of the American College of Medical Genetics · 2011Article
- Familial risk for chronic disease and intent to share family history with a health care provider among urban Appalachian women, southwestern Ohio, 2007.Preventing chronic disease · 2010Article
Corrections and comments
- Commented on by
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effects of different types of individualised risk communication for patients who are deciding whether to participate in screening.
designSystematic review. DATA SOURCES: Specialist register of the Cochrane consumers and communication review group, scientific databases, and a manual follow up of references. SELECTION OF STUDIES: Studies were randomised controlled trials addressing decisions by patients whether or not to undergo screening and incorporating an intervention with an element of "individualised" risk communication-based on the individual's own risk factors for a condition (such as age or family history). OUTCOME MEASURES: The principal outcome was uptake of screening tests; further cognitive and affective measures were also assessed to gauge informed decision making.
results13 studies were included, 10 of which addressed mammography programmes. Individualised risk communication was associated with an increased uptake of screening tests (odds ratio 1.5, 95% confidence interval 1.11 to 2.03). Few cognitive or affective outcomes were reported consistently, so it was not possible to conclude whether this increase in the uptake of tests was related to informed decision making by patients.
conclusionsIndividualised risk estimates may be effective for purposes of population health, but their effects on increasing uptake of screening programmes may not be interpretable as evidence of informed decision making by patients. Greater attention is required to ways of developing interventions for screening programmes that can achieve this.
Indexed as
Identifiers
What OpenQuestion holds
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.