ArticleBMJ open2018
What do European women know about their female cancer risks and cancer screening? A cross-sectional online intervention survey in five European countries.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Shared decision-making for supporting women's decisions about breast cancer screening.The Cochrane database of systematic reviews · 2024Pooled it
- Women's perceptions of breast cancer risk and prevention: insights into knowledge gaps and lifestyle attitudes.BMC public health · 2026Article
- Knowledge of High School Students About Cancers of the Genital System.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- Evaluating evidence-based health information from generative AI using a cross-sectional study with laypeople seeking screening information.NPJ digital medicine · 2025Article
- Impact of personalised risk predictions on breast cancer risk perceptions: insights from the BREATHE study.Journal of translational medicine · 2025Article
- The impact of objective/sensationalist media on young women's concern and misconceptions about breast cancer: an experimental study.BMC women's health · 2025Article
- Women's perspectives on ultrasound as primary imaging modality for focal breast complaints: a qualitative study.Insights into imaging · 2025Article
- Breast Cancer Prevention Practices and Knowledge in Italian and Chinese Women in Italy: Clinical Checkups, Free NHS Screening Adherence, and Breast Self-Examination (BSE).Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Article
- Knowledge and Misinformation About Breast Cancer Risk Factors, Symptoms, and Prevention Among Healthy and Affected Women: A Study on 2375 Italian Participants.Healthcare (Basel, Switzerland) · 2024Article
- Exploring the Landscape of Breast Cancer Prevention among Chinese Residents in Italy: An In-Depth Analysis of Screening Adherence, Breast Self-Examination (BSE) Practices, the Role of Technological Tools, and Misconceptions Surrounding Risk Factors and Symptoms.International journal of environmental research and public health · 2024Article
- Global, regional, and national quality of care index of cervical and ovarian cancer: a systematic analysis for the global burden of disease study 1990-2019.BMC women's health · 2024Article
- Text-Based vs. Graphical Information Formats in Sepsis Prevention and Early Detection: A Randomized Controlled Trial on Informed Choice.Journal of clinical medicine · 2022Article
- Factors affecting intention to screen after being informed of benefits and harms of breast cancer screening: a study in 5 European countries in 2021.Archives of public health = Archives belges de sante publique · 2022Article
- Organized Breast and Cervical Cancer Screening: Attendance and Determinants in Southern Italy.Cancers · 2021Article
- Personalized early detection and prevention of breast cancer: ENVISION consensus statement.Nature reviews. Clinical oncology · 2020Review
- Article
- Autonomy Challenges in Epigenetic Risk-Stratified Cancer Screening: How Can Patient Decision Aids Support Informed Consent?Journal of personalized medicine · 2019Review
- Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesInformed decisions about cancer screening require accurate knowledge regarding cancer risks and screening. This study investigates: (1) European women's knowledge of their risk of developing breast, ovarian, cervical or endometrial cancer, (2) their knowledge about mammography screening and (3) whether an evidence-based leaflet improves their knowledge.
designCross-sectional online intervention survey.
settingNational samples from five European countries (Czech Republic, Germany, UK, Italy and Sweden)-drawn from the Harris Interactive and the Toluna panel, respectively, in January 2017-were queried on their knowledge of age-specific risks of developing breast, cervical, ovarian or endometrial cancer within the next 10 years and of mammography screening before and after intervention.
participantsOf 3629 women (inclusion criteria: age 40-75 years) invited, 2092 responded and 1675 completed the survey (response rate: 61.4%).
interventionEvidence-based leaflet summarising information on age-adjusted female cancer risks, mammography and aspects of cancer prevention. PRIMARY OUTCOME MEASURES: Proportion of women (1) accurately estimating their risk of four female cancers, (2) holding correct assumptions of mammography screening and (3) changing their estimations and assumptions after exposure to leaflet.
findingsAcross countries, 59.2% (95% CI 56.8% to 61.6%) to 91.8% (95% CI 90.3% to 93.0%) overestimated their female cancer risks 7-33 fold (medians
conclusionA considerable number of women in five European countries may not possess the prerequisites for an informed choice on cancer screening. Evidence-based information in patient leaflets can improve this situation.
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