Evidence map›Paper›PMID 8762358›Full record

Trial reportJournal of epidemiology and community health1996

Breast screening: a randomised controlled trial in UK general practice of three interventions designed to increase uptake.

D J Sharp, T J Peters, J Bartholomew, A Shaw

Abstract readClinical TrialComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of epidemiology and community health, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. A consensus approach: Understanding the support needs of women in Newport West, Wales, to participate in breast screening.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  5. Article
  6. Access to health care for ethnic minority populations.Postgraduate medical journal · 2005
    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

4 authors.

D J SharpDepartment of Social Medicine, University of Bristol.
T J Peters
J Bartholomew
A Shaw

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesTo determine the relative effectiveness of three interventions designed to increase the uptake of breast screening.

designRandomised controlled trial of a nurse visit with health education (group A), nurse visit without health education (group B), and GP letter (group C).

settingThe area of south east London served by the Butterfly Walk Breast Screening Unit in Camberwell.

participantsWomen aged between 50 and 64 years who were registered with 27 GPs in the Lambeth, Southwark and Lewisham family health services authority and who had not attended for first round screening. MAIN

resultsAltogether 799 women were randomly allocated to the three groups. In general, delivering the nurse based interventions proved difficult. In group A, 11.4% (95% CI 7.9, 14.9%) of women subsequently attended for screening compared with 7.8% (95% CI 5.1, 11.4%) in group B and 13.1% (95% CI 7.9, 18.4%) in group C. The differences between the groups (95% CIs) were not statistically significant: A versus C, -1.7% (-8.0, +4.6%); B versus C, -5.3% (-11.3, +0.7%); A versus B, +3.6% (-1.0, +8.2%).

conclusionsA personal letter from the GP seems to be at least as effective at increasing the uptake of breast screening in non-attenders as a nurse making a home visit to discuss the issue of breast screening, and is not noticeably less effective than a visit at which a health education intervention is delivered. It is possible that the GP letter is considerably more effective than either of the two interview-based interventions. With regard to implementing strategies which will increase breast screening uptake and are cost effective, further trials of similar minimal interventions in primary care are required.

Indexed as

Patient CompliancePhysician's RoleBreast NeoplasmsCommunity Health NursingFemaleHealth EducationHumansLondonMammographyMass ScreeningMiddle AgedPatient SelectionTreatment Refusal

Identifiers

PMID8762358
PMCPMC1060208

What OpenQuestion holds

Textmetadata
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.