Mandrik, O. orcid.org/0000-0003-3755-3031, Tolma, E., Zielonke, N. et al. (4 more authors) (2021) Systematic reviews as a “lens of evidence”: determinants of participation in breast cancer screening. Journal of Medical Screening, 28 (2). pp. 70-79. ISSN 0969-1413
Abstract
OBJECTIVE: To assess determinants of the participation rate in breast cancer screening (BCS) programs by conducting a systematic review of reviews.
METHODS: We conducted a systematic search in Pubmed via Medline, Scopus, Embase, and Cochrane identifying the literature up to April 2019. Out of 2,258 revealed unique abstracts, we included 31 reviews from which 25 were considered as systematic. We applied the Walsh & McPhee Systems Model of Clinical Preventive Care to systematise the determinants of screening participation.
RESULTS: The reviews, mainly in high-income settings, reported a wide range for BCS participation rate: 16-90%. The determinants of BCS participation were simple low-cost interventions, such as invitation letters, basic information on screening, multiple reminders, fixed appointments, prompts from healthcare professionals, and healthcare organizational factors (eg. close proximity to screening facility). More complex interventions (such as face-to-face counselling or home visits), mass media or improved access to transport should not be encouraged by policy makers unless other information appears. The repeated participation in mammography screening was consistently high, above 62%. Previous positive experience with screening influenced the repeated participation in screening programs. The reviews were inconsistent in the use of terminology related to BCS participation, which may have contributed to the heterogeneity in the reported outcomes.
CONCLUSIONS: This study shows that consistent findings of systematic reviews bring more certainty into the conclusions on effects of simple invitation techniques, fixed appointments and prompts, as well as healthcare organizational factors on promoting participation rate in screening mammography.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020 The Author(s). This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
Keywords: | attitude to health; breast neoplasms; cancer; early detection of cancer; mass screening; oncology; patient acceptance of healthcare; patient participation; systematic review |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 05 Jun 2020 16:19 |
Last Modified: | 12 Nov 2021 16:57 |
Status: | Published |
Publisher: | SAGE Publications |
Refereed: | Yes |
Identification Number: | 10.1177/0969141320930743 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:161520 |