Evidence map›Paper›PMID 19589447›Full record

ArticleAmerican journal of preventive medicine2009

Effect of a multimodal reminder program on repeat mammogram screening.

Adrianne C Feldstein, Nancy Perrin, A Gabriela Rosales, Jennifer Schneider, Mary M Rix, Kara Keels, Stephanie Schoap, Russell E Glasgow

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  5. Using Self-Scheduling to Improve Screening Mammography Completion Rates.Journal of the American College of Radiology : JACR · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Adrianne C FeldsteinCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA. adrianne.c.feldstein@kpchr.org
Nancy Perrin
A Gabriela Rosales
Jennifer Schneider
Mary M Rix
Kara Keels
Stephanie Schoap
Russell E Glasgow
Kaiser Permanente · US

Funding

Forging Implementation of Cancer Screening Reminder Systems (FICSRS)R21CA124395 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI FELDSTEIN, ADRIANNE C · 2007 to 2008
$357k
NCI NIH HHS R21 CA124395
6 · The paper itself

Abstract

backgroundPatient mammogram reminders are effective but have not been fully implemented in practice to improve routine screening. The effectiveness of implementation and maintenance phases of a multimodal reminder program that incorporated automated calls capable of efficiently reaching large numbers of women was evaluated to improve repeat mammography screening.

designA quasi-experimental study was conducted in 2008 using electronic medical record data during three time periods: pre-reminder phase (2004), post-reminder implementation phase (2006), and post-reminder maintenance phase (January 1-July 1, 2007). SETTING/

participantsParticipants were female Kaiser Permanente Northwest HMO members aged 42 years or more who were 20 months past their last mammogram (index date) (N=35,104). The intervention program targeted women aged 50-69 years. Women aged 42-49 years (for whom clinical guidelines also recommend mammography) not targeted by the program constituted the primary comparison group (CG1).

interventionA "mammogram due soon" postcard was mailed to participants 20 months after their last mammogram, followed by up to two automated phone calls and one live call for nonresponders.

main outcome measuresThe outcome measure was the time until participants received a mammogram in the 10 months following the index date.

resultsPre-reminder, 63.4% of targeted women completed a mammogram; this number increased to 75.4% in the post-reminder implementation phase; 80.6% completed a mammogram in the maintenance phases. After controlling for demographics and clinic visits, intervention women were 1.51 times more likely to complete a mammogram (CI=1.40, 1.62) post-reminder implementation, compared to CG1. The effect was maintained in 2007 (hazard ratio 1.81, CI=1.65, 1.99).

conclusionsThe study found that this multimodal reminder system could be effectively implemented and maintained in a large health system. If widely implemented, this intervention could substantially improve community mammography screening.

Indexed as

Reminder SystemsAdultAgedAutomationBreast NeoplasmsFemaleHealth Maintenance OrganizationsHumansMammographyMass ScreeningMiddle AgedNorthwestern United StatesPatient Acceptance of Health CarePractice Guidelines as TopicRetrospective StudiesTelephone

Identifiers

PMID19589447
PMCPMC2755090
OpenAlexW1975477641

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.