Evidence map›Paper›PMID 21654683›Full record

Trial reportBritish journal of cancer2011

A promoting early presentation intervention increases breast cancer awareness in older women after 2 years: a randomised controlled trial.

L J L Forbes, L Linsell, L Atkins, C Burgess, L Tucker, L Omar, A J Ramirez

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2011. 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
2.7field-weighted citation impact, top 9% 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, 46 citations in OpenAlex.

  1. Interventions for raising breast cancer awareness in women.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Frontiers in public health · 2018
    Review
  8. Article
  9. Improving early diagnosis of symptomatic cancer.Nature reviews. Clinical oncology · 2016
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Cancer in the elderly.Journal of cancer epidemiology · 2014
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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

7 authors at 2 institutions in 1 country.

L J L ForbesPromoting Early Presentation Group, Kings College London, Adamson Centre for Mental Health, South Wing, St Thomas' Hospital, London SE1 7EH, UK. lindsay.forbes@kcl.ac.uk
L Linsell
L Atkins
C Burgess
L Tucker
L Omar
A J Ramirez
Centre for Mental Health · GBSt Thomas' Hospital · GB

Funding

Cancer Research UK
6 · The paper itself

Abstract

backgroundWe have developed the Promoting Early Presentation (PEP) Intervention to equip older women with the knowledge, skills, confidence and motivation to present promptly with breast symptoms, and thereby improve survival from breast cancer. The PEP Intervention consists of a 10-min interaction between a radiographer and an older woman, supported by a booklet. Our previous report showed that at 1 year, the PEP intervention increased the proportion who were breast cancer aware compared with usual care.

methodsWe randomised 867 women aged 67-70 years attending for their final routine appointment on the National Health Service Breast Screening Programme to receive the PEP Intervention, a booklet alone or usual care. The primary outcome was breast cancer awareness measured using a validated questionnaire asking about knowledge of breast cancer symptoms, knowledge that the risk of breast cancer increases with age and breast checking behaviour.

resultsAt 2 years, the PEP Intervention increased the proportion who were breast cancer aware compared with usual care (21 vs 6%; odds ratio 8.1, 95% confidence interval 2.7-25.0).

conclusionsThe uniquely large and sustained effect of the PEP Intervention on breast cancer awareness increases the likelihood that a woman will present promptly should she develop breast cancer symptoms up to many years later.

Indexed as

AwarenessEarly DiagnosisEarly Intervention, EducationalHealth EducationAgedBreast NeoplasmsFemaleFollow-Up StudiesHumans

Identifiers

PMID21654683
PMCPMC3137419
OpenAlexW1973757537

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.