scholarly journals A promoting early presentation intervention increases breast cancer awareness in older women after 2 years: a randomised controlled trial

2011 ◽  
Vol 105 (1) ◽  
pp. 18-21 ◽  
Author(s):  
L J L Forbes ◽  
L Linsell ◽  
L Atkins ◽  
C Burgess ◽  
L Tucker ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Randomised Controlled Trial ◽  
Older Women ◽  
Controlled Trial ◽  
Cancer Awareness ◽  
Early Presentation ◽  
Breast Cancer Awareness ◽  
Randomised Controlled

scholarly journals Promoting Early Presentation of Breast Cancer in Older Women: Implementing an Evidence-Based Intervention in Routine Clinical Practice

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Lindsay J. L. Forbes ◽  
Alice S. Forster ◽  
Rachael H. Dodd ◽  
Lorraine Tucker ◽  
Rachel Laming ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Clinical Practice ◽  
Randomised Controlled Trial ◽  
Older Women ◽  
Breast Screening ◽  
Controlled Trial ◽  
Routine Clinical Practice ◽  
Cancer Awareness ◽  
Breast Cancer Awareness ◽  
Randomised Controlled

Background. Women over 70 with breast cancer have poorer one-year survival and present at a more advanced stage than younger women. Promoting early symptomatic presentation in older women may reduce stage cost effectively and is unlikely to lead to overdiagnosis. After examining efficacy in a randomised controlled trial, we piloted a brief health professional-delivered intervention to equip women to present promptly with breast symptoms, as an integral part of the final invited mammogram at age~70, in the English National Health Service Breast Screening Programme.Methods. We trained mammographers, who then offered the intervention to older women in four breast screening services. We examined breast cancer awareness at baseline and one month in women receiving the intervention, and also in a service where the intervention was not offered.Results. We trained 27 mammographers to deliver the intervention confidently to a high standard. Breast cancer awareness increased 7-fold at one month in women receiving the intervention compared with 2-fold in the comparison service (odds ratio 15.2, 95% confidence interval 10.0 to 23.2).Conclusions. The PEP Intervention can be implemented in routine clinical practice with a potency similar to that achieved in a randomised controlled trial. It has the potential to reduce delay in diagnosis for breast cancer in older women.

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