Document Detail


Increasing participation in cervical cancer screening: Telephone contact with long-term non-attendees in Sweden. Results from RACOMIP, a randomized controlled trial.
MedLine Citation:
PMID:  23233356     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Non-participation is the foremost screening-related risk factor for cervical cancer. We studied the effectiveness and cost-effectiveness of an intervention to increase participation in the context of a well-run screening program. Telephone contact with non-attendees, offering an appointment to take a smear, was compared with a control group in a population-based randomized trial in western Sweden. Of 8,800 randomly selected women aged 30-62, without a registered Pap smear in the two latest screening rounds, 4,000 were randomized to a telephone arm, another 800 were offered a high-risk human papillomavirus (HPV) self-test by mail (not reported in this paper) and 4,000 constituted a control group. Endpoints were frequency of testing, frequency of abnormal smears and further assessment of abnormal tests. Participation during the following twelve months was significantly higher in the telephone arm than in the control group, 718 (18.0%) versus 422 (10.6%) (RR 1.70, 95% CI 1.52-1.90). The number of detected abnormal smears was 39 and 19, respectively (RR 2.05, 95% CI 1.19-3.55). The respective numbers of further assessed abnormalities were 34 and 18 (RR 1.89, 95% CI 1.07-3.34). Twice as many high-grade intraepithelial neoplasia (CIN2+) were detected and treated in the telephone arm: 14 and 7, respectively. Telephone contact with women who have abstained from cervical cancer screening for long time increases participation and leads to a significant increase in detection of atypical smears. Cost calculations indicate that this intervention is unlikely to be cost-generating and this strategy is feasible in the context of a screening program. © 2012 Wiley Periodicals, Inc.
Authors:
Gudrun Broberg; Junmei Miao Jonasson; Joy Ellis; Dorte Gyrd-Hansen; Birgitta Anjemark; Anna Glantz; Lotta Söderberg; Mare-Liis Ryd; Mikael Holtenman; Ian Milsom; Björn Strander
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-11
Journal Detail:
Title:  International journal of cancer. Journal international du cancer     Volume:  -     ISSN:  1097-0215     ISO Abbreviation:  Int. J. Cancer     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0042124     Medline TA:  Int J Cancer     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 UICC.
Affiliation:
Regional Cancer Centre, Western Health Care Region, Gothenburg, Sweden; Department of Obstetrics and Gynecology, Institute of Clinical Science, Sahlgrenska Academy at University of Gothenburg, Sweden.
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