Trial reportBritish journal of cancer2009
A randomised controlled trial of an intervention to promote early presentation of breast cancer in older women: effect on breast cancer awareness.
Trial report in British journal of cancer, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Determinants of Delayed Presentation and Advanced-Stage Diagnosis of Breast Cancer in Africa: A Systematic Review and Meta-Analysis.Asian Pacific journal of cancer prevention : APJCP · 2021Pooled it
- Interventions for raising breast cancer awareness in women.The Cochrane database of systematic reviews · 2017Pooled it
- Promoting prompt help-seeking for symptoms - assessing the impact of a gynaecological cancer leaflet on presentations to primary care: a record-based randomised control trial.BMC public health · 2018Trial
- Reducing the time before consulting with symptoms of lung cancer: a randomised controlled trial in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Trial
- A promoting early presentation intervention increases breast cancer awareness in older women after 2 years: a randomised controlled trial.British journal of cancer · 2011Trial
- Breast cancer stage and molecular subtype distribution: real-world insights from a regional oncological center in Hungary.Discover oncology · 2024Article
- Determine knowledge and belief of Somalian young women about breast cancer and breast self-examination with champion health belief model: a cross-sectional study.BMC medical informatics and decision making · 2022Article
- Bladder Cancer and Google Trends: Associations Between US Search Patterns and Disease Outcomes May Show Need for Improved Awareness Strategies.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Article
- Husbands' Knowledge of Breast Cancer and Their Wives' Attitudes and Practices Related to Breast Cancer Screening in Saudi Arabia: Cross-sectional Online Survey.Journal of medical Internet research · 2021Article
- Article
- Promoting early presentation of breast cancer in older women: sustained effect of an intervention to promote breast cancer awareness in routine clinical practice.BMC health services research · 2017Article
- Breast Cancer Knowledge and Breast Self-Examination Practices Among Female University Students in Kampala, Uganda: A Descriptive Study.Oman medical journal · 2016Article
- An Association of Cancer Physicians' strategy for improving services and outcomes for cancer patients.Ecancermedicalscience · 2016Article
- The effectiveness of a community-based breast cancer education intervention in the New York State Capital Region.Journal of cancer education : the official journal of the American Association for Cancer Education · 2013Article
- Management of operable breast cancer in older women.Journal of the Royal Society of Medicine · 2013Review
- Promoting early presentation of breast cancer in older women: implementing an evidence-based intervention in routine clinical practice.Journal of cancer epidemiology · 2012Article
- Involving users in the design of a randomised controlled trial of an intervention to promote early presentation in breast cancer: qualitative study.BMC medical research methodology · 2010Article
- The National Awareness and Early Diagnosis Initiative in England: assembling the evidence.British journal of cancer · 2009Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundThere is virtually no evidence for the effectiveness of interventions to promote early presentation in breast cancer. We aimed to test the efficacy of an intervention to equip older women with the knowledge, skills, confidence and motivation to detect symptoms and seek help promptly, with the aim of promoting early presentation with breast cancer symptoms.
methodsWe randomised 867 women aged 67-70 years attending for their final routine appointment on the UK NHS Breast Screening Programme to receive: a scripted 10-min interaction with a radiographer plus a booklet, a booklet alone or usual care. The primary outcome was whether or not a woman was breast cancer aware based on knowledge of breast cancer symptoms and age-related risk, and reported breast checking.
resultsAt 1 month, the intervention increased the proportion who were breast cancer aware compared with usual care (interaction arm: 32.8% vs 4.1%; odds ratio (OR): 24.0, 95% confidence interval (CI): 7.7-73.7; booklet arm: 12.7% vs 4.1%; OR: 4.4, 95% CI: 1.6-12.0). At 1 year, the effects of the interaction plus booklet, and the booklet, on breast cancer awareness were largely sustained, although the interaction plus booklet remained much more effective.
conclusionsAn intervention to equip older women with the knowledge, skills, confidence and motivation to detect breast cancer symptoms and seek help promptly increases breast cancer awareness at 1 year. Future research will evaluate whether the intervention promotes early presentation and reduces breast cancer mortality.
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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.