Promoting Early Presentation of Breast Cancer in Older Women : Implementing an Evidence-Based Intervention in Routine Clinical Practice
Joint Authors
Forbes, Lindsay J. L.
Ramirez, Amanda J.
Patnick, Julietta
Forster, Alice S.
Sellars, Sarah
Tucker, Lorraine
Laming, Rachel
Dodd, Rachael H.
Source
Journal of Cancer Epidemiology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-07
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Forbes, Lindsay J. L.& Forster, Alice S.& Dodd, Rachael H.& Tucker, Lorraine& Laming, Rachel& Sellars, Sarah…[et al.]. 2012. Promoting Early Presentation of Breast Cancer in Older Women : Implementing an Evidence-Based Intervention in Routine Clinical Practice. Journal of Cancer Epidemiology،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-501899
Modern Language Association (MLA)
Forbes, Lindsay J. L.…[et al.]. Promoting Early Presentation of Breast Cancer in Older Women : Implementing an Evidence-Based Intervention in Routine Clinical Practice. Journal of Cancer Epidemiology No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-501899
American Medical Association (AMA)
Forbes, Lindsay J. L.& Forster, Alice S.& Dodd, Rachael H.& Tucker, Lorraine& Laming, Rachel& Sellars, Sarah…[et al.]. Promoting Early Presentation of Breast Cancer in Older Women : Implementing an Evidence-Based Intervention in Routine Clinical Practice. Journal of Cancer Epidemiology. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-501899
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-501899