scholarly journals Improving Breast and Cervical Cancer Screening Compliance Through Direct Physician Contact in a Military Treatment Facility: A Non-randomized Pilot Study

2020 ◽  
Author(s):  
Alexis K McDermott ◽  
Andrew J McDermott ◽  
Richard Osbaldiston ◽  
Robert P Lennon
Keyword(s):  
Cervical Cancer ◽  
Pilot Study ◽  
Completion Rate ◽  
Screening Tests ◽  
Patient Contact ◽  
Limited Data ◽  
Breast And Cervical Cancer ◽  
Physician Contact ◽  
Medicine Physician ◽  
Intervention Patient

Abstract Introduction Screening for breast cancer (BC) and cervical cancer (CC) decreases morbidity and mortality. Most interventions to improve screening rely on automated modalities or nonphysician patient contact. There is limited data on direct patient contact by a physician to encourage BC and CC screening. This non-randomized pilot study sought to evaluate the potential of direct physician contact to improve BC and CC screening rates. Materials and Methods A Family Medicine physician telephoned patients on his panel who were due or overdue for BC and CC screening. If the patient did not answer her phone, a voicemail was left; if unable to leave a voicemail, a letter was mailed. The completion rate of recommended screening tests was measured 3 months after contact and compared to a retrospectively identified control population. The change in compliance of the patient panel over 3 months was also calculated. Results Direct physician conversation by telephone yielded higher completion rates for BC and CC screening versus control patients, but only the CC completion rate increase was statistically significant. Direct conversation BC screening completion rate: 41.2% versus 22.7% (P = .22, n = 48). Direct conversation CC screening completion rate: 45% versus 13.9% (P = .01, n = 44). The intervention patient panel compliance with screening recommendations increased 20.5% for BC and 10.5% for CC. Conclusion Direct physician contact may be beneficial to increase compliance for more invasive screening tests.

scholarly journals Amate: A Mobile Application To Improve Access To Early Breast And Cervical Cancer Detection

2018 ◽  
Vol 4 (Supplement 3) ◽  
pp. 26s-26s
Author(s):  
Carlos Munoz-Zuluaga ◽  
Armando Sardi ◽  
Mavalynne Orozco-Urdaneta ◽  
Luis Gabriel Parra-Lara ◽  
Andres Perez ◽  
...  
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Risk Factor ◽  
Early Detection ◽  
Cancer Detection ◽  
Cancer Care ◽  
Early Cancer ◽  
Early Cancer Detection ◽  
Screening Tests ◽  
Breast And Cervical Cancer

Purpose For Colombian women, breast and cervical cancer are the leading causes of mortality, despite being potentially curable through early detection and timely treatment. Tedious administrative processes and a lack of cancer screening education and awareness hinders early detection. Mobile applications (mApps) have permeated all levels of society and are potential tools by which to deliver personalized information and identify high-risk patients in need of screening tests thereby improving early cancer detection. The aim of this work is to create a free mApp that educates and guides patients to the national screening programs for breast and cervical cancer. Methods An mApp Amate was advertised to women (age ≥ 14 years) in the waiting rooms of a health care facility of a community hospital during a period of 9 months. Amate used educational, evaluative, and risk factor questions to measure the population’s knowledge of breast and cervical cancer. Each question was followed by an explanation. Correct answers yielded points that were redeemable for cellular data. Risk assessment questions identified women who required screening who were subsequently contacted by a health care provider and enrolled in the national cancer care program. Results A total of 4,553 women were contacted from August 2017 to May 2018. Of this group, 830 downloaded Amate and answered all of the questions. On the basis of the risk factor questions, 16% of patients (n = 131) were identified as being at risk for breast and/or cervical cancer and needed to be enrolled in the national screening program. Thus far, 24% of patients (n = 32) have successfully completed their recommended screening tests—mammogram, Papanicolau smear, or both. We also identified specific barriers to enrolling patients in these programs, including an unwillingness to be enrolled, limited available appointments at health care centers, and denied access as a result of health care coverage. Conclusion Amate is a low-cost, accessible tool that identifies women who are at risk for breast and cervical cancer and detects access barriers to early cancer detection. Administrative obstacles still exist and must be addressed to improve early cancer detection and screening. Amate has the potential to reach people from rural areas of Colombia and other underserved countries. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST The following represents disclosure information provided by authors of this manuscript. All relationships are considered compensated. Relationships are self-held unless noted. I = Immediate Family Member, Inst = My Institution. Relationships may not relate to the subject matter of this manuscript. For more information about ASCO's conflict of interest policy, please refer to www.asco.org/rwc or ascopubs.org/jco/site/ifc . Armando Sardi Stock or Other Ownership: Celgene, Johnson & Johnson Mavalynne Orozco-Urdaneta Employment: Partners For Cancer Care And Prevention Foundation, Stamina-in-Action Stock or Other Ownership: Celgene, Johnson & Johnson Luis Gabriel Parra-Lara Research Funding: Merk & Co

scholarly journals Patterns and Trends of Cancer Screening in Canada: Results From a Contemporary National Survey

2021 ◽  
Vol 19 (1) ◽  
pp. 68-76
Author(s):  
Omar Abdel-Rahman
Keyword(s):  
Breast Cancer ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Pap Test ◽  
Complete Information ◽  
Screening Tests ◽  
Visible Minority ◽  
Crc Screening ◽  
Breast And Cervical Cancer

Background: The aim of this study was to assess the patterns and trends of colorectal, breast, and cervical cancer screening within a contemporary cohort of Canadian adults. Methods: Canadian Community Health Survey datasets (2007–2016) were accessed and 3 cohorts were defined: (1) a colorectal cancer (CRC) screening cohort, defined as men and women aged 50 to 74 years with complete information about CRC screening tests and their timing; (2) a breast cancer screening cohort, defined as women aged 40 to 74 years with complete information about mammography and its timing; and (3) a cervical cancer screening cohort, defined as women aged 25 to 69 years with complete information about the Papanicolaou (Pap) test and its timing. Multivariable logistic regression analysis was then performed to evaluate factors associated with not having timely screening tests at the time of survey completion. Results: A total of 99,820 participants were considered eligible for the CRC screening cohort, 59,724 for the breast cancer screening cohort, and 46,767 for the cervical cancer screening cohort. Among eligible participants, 43% did not have timely recommended screening tests for CRC, 35% did not have timely mammography (this number decreased to 26% when limiting the eligible group to ages 50–74 years), and 25% did not have a timely Pap test. Lower income was associated with not having a timely recommended screening tests for all 3 cohorts (odds ratios [95% CI]: 1.86 [1.76–1.97], 1.89 [1.76–2.04], and 1.96 [1.79–2.14], respectively). Likewise, persons self-identifying as a visible minority were less likely to have timely recommended screening tests in all 3 cohorts (odds ratios for White race vs visible minority [95% CI]: 0.87 [0.83–0.92], 0.85 [0.80–0.91], and 0.66 [0.61–0.70], respectively). Conclusions: More than one-third of eligible individuals are missing timely screening tests for CRC. Moreover, at least one-quarter of eligible women are missing their recommended breast and cervical cancer screening tests. More efforts from federal and provincial health authorities are needed to deal with socioeconomic disparities in access to cancer screening.

Pathways to Early Cancer Detection for Latinas: En Acción Contra el Cáncer

1996 ◽  
Vol 23 (1_suppl) ◽  
pp. 41-59 ◽  
Author(s):  
Eliseo J. Pérez-Stable ◽  
Regina Otero-Sabogal ◽  
Fabio Sabogal ◽  
Anna Nápoles-Springer
Keyword(s):  
Cervical Cancer ◽  
Pap Smear ◽  
Community Outreach ◽  
The United States ◽  
Screening Tests ◽  
Educational Materials ◽  
Knowledge And Attitudes ◽  
Breast And Cervical Cancer ◽  
Prevention Interventions ◽  
And Control

Latinas have less breast cancer, have more cervical cancer, and obtain fewer screening tests at recommended intervals. This article reviews the epidemiology and use of screening tests for these cancers and cultural factors that affect screening. En Acción Contra el Cáncer was designed to increase use of breast and cervical cancer screening services by distributing free cancer educational materials in Spanish, implementing a media campaign, conducting community outreach, training lay networkers, and assisting clinicians. A survey of 1,601 Latinas, 20 to 74 years old, ascertained screening behavior and knowledge and attitudes about cancer. Comparison of intervention and control cities showed significant differences in proportion insured, married, born in the United States, and less acculturated. There were no significant differences in mammography and Pap smear use, knowledge, and attitudes. Culturally appropriate prevention interventions that target ethnic-specific concerns arc needed.

scholarly journals A pilot study of risk-stratified cervical cancer screening

2021 ◽  
Vol 1 ◽  
pp. 84
Author(s):  
Jiangrong Wang ◽  
K. Miriam Elfström ◽  
Christer Borgfeldt ◽  
Joakim Dillner
Keyword(s):  
Cervical Cancer ◽  
Pilot Study ◽  
Cancer Risk ◽  
Cervical Screening ◽  
Screening Method ◽  
Screening Tests ◽  
Individual Risk ◽  
Horizon 2020 ◽  
Screening Programs

Background: Cervical screening programs target entire populations, although it is well established that cervical cancer risks can vary >100-fold based, in particular, on the woman’s screening history. Since cervical screening switched to Human Papillomavirus (HPV) testing as the primary screening method, the risk differences are even larger as different HPV types may vary in associated cancer risk by 100 times. Furthermore, HPV infections with the most oncogenic types are declining dramatically because of HPV vaccination programs. Tailoring screening intensity based on the known cancer risk of the individual (risk-stratified screening) therefore has great potential to increase both the sensitivity and specificity. Within Horizon 2020 a major project for RIsk-stratified Screening for Cervical Cancer (RISCC) has therefore been launched. We performed a pilot study of risk-stratified screening to evaluate feasibility and acceptability of offering vaginal HPV self-sampling tests to women with a higher risk of cervical cancer. Methods: We identified resident women who had had either i) atypical glandular cells in screening tests during the past six years (risk >150/100,000 woman-years) or ii) abnormal screening findings above the age of 50, but without sufficient follow-up (risk >65/100,000). The women were invited, either by short message service (SMS) or physical letters, to order an HPV self-sampling kit via the study web-platform. The returned self-collected samples were tested for HPV. If positive, women were invited for clinical follow-up. Results: Among 920 targeted women, 191 (21%) placed an order and 163 (18%) returned a self-collected sample. Among all tested samples, 19 (12%) were positive for hrHPV and 18 of these women attended clinical follow-up. Conclusions: We found that SMS invitations to high-risk women are feasible and result in substantial requests for kits and submission of samples. Future work will focus on improving the efficiency of the procedure and further increasing attendance.

Pathways to Early Breast and Cervical Detection for Chinese American Women

1996 ◽  
Vol 23 (1_suppl) ◽  
pp. 76-88 ◽  
Author(s):  
Marion Lee ◽  
Florence Lee ◽  
Susan Stewart
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
San Francisco ◽  
Pap Smear ◽  
Chinese American ◽  
Screening Tests ◽  
American Women ◽  
Breast And Cervical Cancer ◽  
Chinese American Women

The authors used telephone interviews to investigate the knowledge, attitudes, beliefs, and practices regarding breast and cervical cancer screening among 775 Chinese American women in San Francisco. The rates of ever had a mammogram, ever had a clinical breast examination, and ever examined one's breasts among women aged 40 and older were 70%, 75% and 70%, respectively. The rates of ever had a Pap smear and ever had a pelvic examination were 67% and 85%, respectively. However, the rates of having had these cancer screening tests at regular intervals were much lower (25% for mammograms, 37% for Pap smears). Ability to speak English and insurance status were significantly associated with breast and cervical cancer screening knowledge and practices. Further analysis of the data, together with the data collected from a survey on physicians serving this population, will provide a basis for future interventions.

scholarly journals Assessment of knowledge, attitudes, and behaviors regarding breast and cervical cancer among women in western Turkey

2019 ◽  
Vol 47 (4) ◽  
pp. 1660-1666 ◽  
Author(s):  
Yasemin Korkut
Keyword(s):  
Cervical Cancer ◽  
Health Workers ◽  
Age Groups ◽  
Screening Tests ◽  
Screening Methods ◽  
Western Turkey ◽  
Attitudes And Practices ◽  
Breast And Cervical Cancer ◽  
Care Workers ◽  
Self Examination

Objective We aimed to assess knowledge, attitudes, and practices regarding breast and cervical cancer and screening methods among women living western Turkey. Methods A questionnaire survey was administered to women aged ≥21 years. Data were collected using a 12-item questionnaire measuring women's knowledge, attitudes, and practice levels, including among participants who were health workers. Results A total 668 women were included in the study. The average age was 37.48 ± 11.85 years. Most women had a primary-level education (43.4%) and most (50.3%) were homemakers; 27.1% of participants were health care workers. The differences in age, education, and occupation among participants were evaluated according to whether participants perform breast self-examination and have undergone Pap testing. The distribution of women according to age group showed that with increased age, the frequency of performing these two behaviors decreased, with women over 55 years old accounting for a significantly higher proportion than other age groups. Conclusions In our study, the level of knowledge and attitudes regarding breast and cervical cancers among women was similar to that in previous studies and was higher than expected, especially among women who were health workers. However, all women had inadequate frequency of performing screening tests.

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