Concurrent participation in screening for cervical, breast, and bowel cancer in England

Parmar, Dharmishta; Maroni, Roberta; Blyuss, Oleg; Duffy, Stephen W.

doi:10.1177/0969141319871977

Cited by 19 publications

(23 citation statements)

References 38 publications

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“…Participants’ familiarity with, and participation in, national screening programmes suggests their enthusiasm for AF screening will not be relevant to all screening invitees. For example, recent studies in the UK found that prior attendance in screening is positively correlated with future participation 41 42. Participants in our study match national trends by being less deprived by practice deprivation status 43.…”

Section: Discussionsupporting

confidence: 64%

Why do people take part in atrial fibrillation screening? Qualitative interview study in English primary care

et al. 2022

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ObjectivesThere is insufficient evidence to support national screening programmes for atrial fibrillation (AF). Nevertheless, some practitioners, policy-makers and special interest groups have encouraged introduction of opportunistic screening in primary care in order to reduce the incidence of stroke through earlier detection and treatment of AF. The attitudes of the public towards AF screening are unknown. We aimed to explore why AF screening participants took part in the screening.DesignSemistructured longitudinal interview study of participant engagement in the SAFER study (Screening for Atrial Fibrillation with ECG to Reduce stroke). We undertook initial interviews face to face, with up to two follow-up telephone interviews during the screening process. We thematically analysed and synthesised these data to understand shared views of screening participation.Setting5 primary care practices in the East of England, UK.Participants23 people taking part in the SAFER study first feasibility phase.ResultsParticipants were supportive of screening for AF, explaining their participation in screening as a ‘good thing to do’. Participants suggested screening could facilitate earlier diagnosis, more effective treatment, and a better future outcome, despite most being unfamiliar with AF. Participating in AF screening helped attenuate participants’ concerns about stroke and demonstrated their commitment to self-care and being a ‘good patient’. Participants felt that the screening test was non-invasive, and they were unlikely to have AF; they therefore considered engaging in AF screening was low risk, with few perceived harms.ConclusionsParticipants assessed the SAFER AF screening programme to be a legitimate, relevant and safe screening opportunity, and complied obediently with what they perceived to be a recommendation to take part. Their unreserved acceptance of screening benefit and lack of awareness of potential harms suggests that uptake would be high but reinforces the importance of ensuring participants receive balanced information about AF screening initiatives.Trial registration numberISRCTN16939438; Pre-results.

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Section: Discussionsupporting

confidence: 64%

Why do people take part in atrial fibrillation screening? Qualitative interview study in English primary care

et al. 2022

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“…A recent study investigated how many women aged 60–65 years (the only group eligible for all three cancer screening programmes in England) participated in all three during their last invitation round 10 . The study revealed that although 90% participated in at least one screening programme, only 35% attended all three.…”

Section: Introductionmentioning

confidence: 99%

“Whilst you are here…” Acceptability of providing advice about screening and early detection of other cancers as part of the breast cancer screening programme

Scott

Rauf

Waller

2021

Health Expectations

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Objectives This research aimed to assess women's willingness to receive advice about cervical and bowel cancer screening participation and advice on cancer symptom awareness when attending breast cancer screening. Methods Women (n = 322) aged 60–64 years, living in the United Kingdom, who had previously taken part in breast cancer screening were recruited via a market research panel. They completed an online survey assessing willingness to receive advice, the potential impact of advice on breast screening participation, prospective acceptability and preferences for mode and timing of advice. Results Most women would be willing to receive information about cervical (86%) and bowel cancer screening (90%) and early symptoms of other cancers (92%) at a breast cancer screening appointment. Those who were not up to date with cervical cancer screening were less willing. Prospective acceptability was high for all three forms of advice and was associated with willingness to receive advice. Women would prefer to receive advice through a leaflet (41%) or discussion with the mammographer (30%) either before the appointment (27%), at the appointment (44%) or with their results (22%). Conclusions While there is high willingness and high acceptability towards using breast cancer screening as a teachable moment for advice about prevention and early detection of other cancers, some women find it unacceptable and this may reduce their likelihood of attending a breast screening appointment. Patient or Public Contribution This study focused on gaining women's insights into potential future initiatives to encourage screening and early diagnosis of cancer. Members of the public were also involved in piloting the questionnaire.

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“…A relative weakness of this study is that screening tests were not allocated in a random process. However, all comparisons between the 2 screening methods were adjusted for age and deprivation, the 2 principal factors associated with screening attendance and detection of abnormalities 22,23 …”

Section: Discussionmentioning

confidence: 99%

“…However, all comparisons between the 2 screening methods were adjusted for age and deprivation, the 2 principal factors associated with screening attendance and detection of abnormalities. 22,23…”

Section: Strengths and Weaknessesmentioning

confidence: 99%

Cytology interpretation after a change to HPV testing in primary cervical screening: Observational study from the English pilot

Mathews

Denton

2022

Cancer Cytopathology

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BACKGROUND: Overcalling of abnormalities has been a concern for using cytology triage after positive high-risk human papillomavirus (HPV) tests in cervical screening. METHODS: The authors studied the detection of cytological and histological abnormalities at age 24 to 64 years, using data from the English HPV pilot. The pilot compared routine implementation of primary cervical screening based on cytology (N = 931,539), where HPV test results were not available before cytology reporting, with that based on HPV testing (N = 403,269), where cytology was only required after positive HPV tests. RESULTS:Revealed HPV positivity was associated with a higher direct referral to colposcopy after any abnormality (adjusted odds ratio [OR adj ], 1.16; 95% confidence interval [CI], 1.14-1.18). Laboratories with higher direct referral referred fewer persistently HPV-positive women after early recall. The detection of high-grade cervical intraepithelial neoplasia (CIN2+) after direct referral increased with an OR adj of 1.17 (95% CI, 1.13-1.20) for informed versus uninformed cytology. Generally, the positive predictive value (PPV) of colposcopy for CIN2+ remained comparable under both conditions of interpreting cytology. In women 50 to 64 years old with high-grade dyskaryosis, however, the PPV increased from 71% to 83% after revealing HPV positivity (OR adj , 2.05; 95% CI, 1.43-2.93). CONCLUSIONS: Quality-controlled cervical screening programs can avoid inappropriate overgrading of HPV-positive cytology.

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Concurrent participation in screening for cervical, breast, and bowel cancer in England

Cited by 19 publications

References 38 publications

Why do people take part in atrial fibrillation screening? Qualitative interview study in English primary care

Why do people take part in atrial fibrillation screening? Qualitative interview study in English primary care

“Whilst you are here…” Acceptability of providing advice about screening and early detection of other cancers as part of the breast cancer screening programme

Cytology interpretation after a change to HPV testing in primary cervical screening: Observational study from the English pilot

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