Evidence map›Paper›PMID 30400786›Full record

ArticleBMC public health2018

Organized screening programmes for breast and cervical cancer in 17 EU countries: trajectories of attendance rates.

Maria Michela Gianino, Jacopo Lenzi, Marco Bonaudo, Maria Pia Fantini, Roberta Siliquini, Walter Ricciardi, Gianfranco Damiani

Abstract read
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Healthcare Providers' Strategies to Improve Breast Cancer Screening Among South Asian Women in Victoria.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
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  14. High-risk human papillomavirus cervical infection prevalence: a nationwide retrospective study comparing opportunistic and organised screening, France, 2020 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 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

7 authors.

Maria Michela GianinoDepartment of Public Health Sciences and Pediatrics, Università di Torino, Via Santena 5 bis, 10126, Turin, Italy.
Jacopo LenziDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum - Università di Bologna, Via Ugo Foscolo 7, 40123, Bologna, Italy.
Marco BonaudoDepartment of Public Health Sciences and Pediatrics, Università di Torino, Via Santena 5 bis, 10126, Turin, Italy. marco.bonaudo@unito.it.ORCID http://orcid.org/0000-0001-9278-8998
Maria Pia FantiniDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum - Università di Bologna, Via Ugo Foscolo 7, 40123, Bologna, Italy.
Roberta SiliquiniDepartment of Public Health Sciences and Pediatrics, Università di Torino, Via Santena 5 bis, 10126, Turin, Italy.
Walter RicciardiFondazione Policlinico Universitario 'Agostino Gemelli' IRCSS, Largo Agostino Gemelli 8, 00168, Roma, Italy.
Gianfranco DamianiFondazione Policlinico Universitario 'Agostino Gemelli' IRCSS, Largo Agostino Gemelli 8, 00168, Roma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim was to analyse participation trajectories in organised breast and cervical cancer screening programmes and the association between socioeconomic variables and participation.

methodsA pooled, cross-sectional, time series analysis was used to evaluate secondary data from 17 European countries in 2004-2014.

resultsThe results show that the mammographic screening trend decreases after an initial increase (coefficient for the linear term = 0.40; p = 0.210; 95% CI = - 0.25, 1.06; coefficient for the quadratic term = - 0.07; p = 0.027; 95% CI = - 0.14, - 0.01), while the cervical screening trend is essentially stable (coefficient for the linear term = 0.39, p = 0.312, 95% CI = - 0.42, 1.20; coefficient for the quadratic term = 0.02, p = 0.689, 95% CI = - 0.07, 0.10). There is a significant difference among the country-specific slopes for breast and cervical cancer screening (SD = 16.7, p < 0.001; SD = 14.4, p < 0.001, respectively). No association is found between participation rate and educational level, income, type of employment, unemployment and preventive expenditure. However, participation in cervical cancer screening is significantly associated with a higher proportion of younger women (≤ 49 years) and a higher Gini index (that is, higher income inequality).

conclusionsIn conclusion three messages: organized cancer screening programmes may reduce the socioeconomic inequalities in younger people's use of preventive services over time; socioeconomic variables are not related to participation rates; these rates do not reach a level of stability in several countries. Therefore, without effective recruitment strategies and tailored organizations, screening participation may not achieve additional gains.

Indexed as

AdultAgedBreast NeoplasmsCross-Sectional StudiesEarly Detection of CancerEuropeFemaleHumansMammographyMass ScreeningMiddle AgedProgram EvaluationSocioeconomic FactorsUterine Cervical NeoplasmsYoung AdultBreast cancerCervical cancerHealthcareOrganized screeningSocioeconomic inequalitiesSocioeconomic variablesTrend

Identifiers

PMID30400786
PMCPMC6220470

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Registered trials

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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.