Evidence map›Paper›PMID 39481096›Full record

SynthesisJournal of medical Internet research2024

Electronic Health Interventions and Cervical Cancer Screening: Systematic Review and Meta-Analysis.

Xiaoxia Liu, Lianzhen Ning, Wenqi Fan, Chanyi Jia, Lina Ge

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Review
  7. Observational
  8. Review
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

5 authors.

Xiaoxia LiuDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Nanhu Campus, Shenyang, China.ORCID 0009-0008-5354-7444
Lianzhen NingDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Nanhu Campus, Shenyang, China.ORCID 0009-0008-1434-2235
Wenqi FanDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Nanhu Campus, Shenyang, China.ORCID 0009-0003-9396-0835
Chanyi JiaDepartment of Nursing, China Medical University, Shenyang, China.ORCID 0009-0009-7110-8127
Lina GeDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Nanhu Campus, Shenyang, China.ORCID 0000-0002-8967-1964

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical cancer is a significant cause of mortality in women. Although screening has reduced cervical cancer mortality, screening rates remain suboptimal. Electronic health interventions emerge as promising strategies to effectively tackle this issue.

objectiveThis systematic review and meta-analysis aimed to determine the effectiveness of electronic health interventions in cervical cancer screening.

methodsOn December 29, 2023, we performed an extensive search for randomized controlled trials evaluating electronic health interventions to promote cervical cancer screening in adults. The search covered multiple databases, including MEDLINE, the Cochrane Central Registry of Controlled Trials, Embase, PsycINFO, PubMed, Scopus, Web of Science, and the Cumulative Index to Nursing and Allied Health Literature. These studies examined the effectiveness of electronic health interventions on cervical cancer screening. Studies published between 2013 and 2022 were included. Two independent reviewers evaluated the titles, abstracts, and full-text publications, also assessing the risk of bias using the Cochrane Risk of Bias 2 tool. Subgroup analysis was conducted based on subjects, intervention type, and economic level. The Mantel-Haenszel method was used within a random-effects model to pool the relative risk of participation in cervical cancer screening.

resultsA screening of 713 records identified 14 articles (15 studies) with 23,102 participants, which were included in the final analysis. The intervention strategies used in these studies included short messaging services (4/14), multimode interventions (4/14), phone calls (2/14), web videos (3/14), and internet-based booking (1/14). The results indicated that electronic health interventions were more effective than control interventions for improving cervical cancer screening rates (relative risk [RR] 1.464, 95% CI 1.285-1.667; P<.001; I

conclusionsElectronic health interventions are recommended in cervical cancer screening programs due to their potential to increase participation rates. However, significant heterogeneity remained in this meta-analysis. Researchers should conduct large-scale studies focusing on the cost-effectiveness of these interventions.

trial registrationCRD42024502884; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=502884.

Indexed as

Digital HealthEarly Detection of CancerUterine Cervical NeoplasmsAdultFemaleHumansRandomized Controlled Trials as Topiccancer screeningcervical cancerelectronic health interventionselectronic health recordHPVwomen's health

Identifiers

PMID39481096
PMCPMC11565089

What OpenQuestion holds

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LicenceCC BY
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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.