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Can postal prompts from general practitioners improve the uptake of breast screening? A randomised controlled trial in one east London general practice

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O'Connor, A. M., Griffiths, C. J., Underwood, Martin and Eldridge, S. (1998) Can postal prompts from general practitioners improve the uptake of breast screening? A randomised controlled trial in one east London general practice. Journal of Medical Screening, 5 (1). pp. 49-52. doi:10.1136/jms.5.1.49 ISSN 0969-1413.

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Official URL: http://dx.doi.org/10.1136/jms.5.1.49

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Abstract

Objective - To determine the effect on the uptake of breast screening of a personalised letter from the general practitioner recommending mammography, sent to coincide with an invitation from the NHS breast screening programme. Design - Randomised control trial with stratification of prognostic variables. Setting - A group practice in Hackney, east London. Subjects - 473 women invited for breast screening by the City and East London Breast Screening Service. Outcome measure - Attendance for mammography. Results - All women in the randomised trial were followed up; 134 of 236 (57%) randomly allocated to receive the prompting letter attended for mammography compared with 120 of 234 (51%) controls. This difference was not significant (χ2 =1.43, p=0.23) Conclusion - Personal recommendation by a letter prompting attendance for mammography from the general practitioner known best to women due to be screened did not improve uptake of breast screening in this east London practice. Other strategies are needed to increase uptake of mammography in inner cities.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Journal of Medical Screening
Publisher: Sage Publications Ltd.
ISSN: 0969-1413
Official Date: 1 March 1998
Dates:
DateEvent
1 March 1998Published
Volume: 5
Number: 1
Page Range: pp. 49-52
DOI: 10.1136/jms.5.1.49
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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