Promoting the early detection of cancer: A systematic review of community pharmacy-based education and screening interventions

Lindsey, Laura; Husband, Andy; Nazar, Hamde; Todd, Adam

doi:10.1016/j.canep.2015.07.011

Cited by 38 publications

(38 citation statements)

References 23 publications

(72 reference statements)

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“…A systematic review, which included two studies by Jiwa et al 18,20. and nine other studies from international settings concluded pharmacies have “significant potential” for the delivery of health promotion for the early detection of cancer, including promotion of screening for bowel and breast cancer 21…”

Section: Introductionmentioning

confidence: 99%

Health promotion of bowel cancer and breast cancer screening in community pharmacies: Pharmacists’ perceptions of their role, knowledge and confidence

Sendall¹,

Ostermann²,

Brown³

et al. 2018

Pharm Pract (Granada)

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Objectives:To identify community pharmacists’ perceptions of their role, knowledge and confidence in relation to bowel cancer and breast cancer screening health promotion.Methods:This was a mixed-methods study with community pharmacists and key informants in the Metro South Health (MSH) region of Brisbane, Queensland, Australia. In Part 1, quantitative data was collected from community pharmacists via an electronic survey. In Part 2, qualitative data was collected from community pharmacists and key informants via in-depth interviews. This paper reports the findings of community pharmacists’ perceptions of their role, knowledge and confidence to promote bowel cancer and breast cancer screening in community pharmacies.Results:A total of 27 community pharmacists (13 males, 14 females) completed the survey. Most (71%) either ‘agreed’ or ‘strongly agreed’ discussing health advice, such as cancer screening, with their consumers was valuable and integral to their broader role. An average of 60% described their confidence as ‘average’ or ‘good’ when discussing bowel and breast cancer screening and prevention with consumers. In eight knowledge questions about bowel and breast cancer and cancer screening, an average of 82% of community pharmacists responded with correct answers (range 52% to 100%). Community pharmacists were consistently more confident and knowledgeable about bowel cancer services than breast cancer services. Five (5) community pharmacists participated in in-depth interviews. The interview findings supported the quantitative findings. Most community pharmacists described their confidence to promote bowel cancer and breast cancer screening as moderate, and consistently reflected they felt more knowledgeable and confident about bowel cancer topics than breast cancer topics.Conclusions:Overall, this research supports the feasibility of promoting bowel cancer screening in community pharmacies. It suggests further training is warranted for community pharmacists to increase their knowledge of breast cancer and their confidence in promoting breast cancer referral and screening services. It highlights the important role community pharmacists have in increasing engagement in the national bowel cancer and breast cancer screening programs, and in potentially decreasing the mortality rates of these cancers.

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Section: Introductionmentioning

confidence: 99%

Health promotion of bowel cancer and breast cancer screening in community pharmacies: Pharmacists’ perceptions of their role, knowledge and confidence

Sendall¹,

Ostermann²,

Brown³

et al. 2018

Pharm Pract (Granada)

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“…Community pharmacies are increasingly being used to deliver screening services due to their geographical spread, extended opening hours, availability of trained healthcare professionals and use by patients who may not normally access medical services [ 17 – 19 ]. Furthermore with access to patient medication records, community pharmacists can identify patients treated for conditions which may be indicative of coeliac disease.…”

Section: Introductionmentioning

confidence: 99%

Early recognition of coeliac disease through community pharmacies: a proof of concept study

et al. 2016

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Setting Fifteen community pharmacies in the UK. Objective Proof of concept study to test the use of community pharmacies for active case finding of patients with coeliac disease. Methods Customers accessing over-the counter and prescription medicines indicated in the treatment of possible symptoms of coeliac disease over a 6 month period were offered a free point of care test. All patients were given advice regarding the test results and those who tested positive were advised to make an appointment with their general practitioner. Patients and pharmacists involved in service provision were asked to complete a satisfaction survey. Pharmacists were additionally invited to undertake interviews to better understand their views on the service. Main outcome measures Feasibility of service, acceptability to stakeholders and proportion testing positive for coeliac disease. Results Of the 551 individuals tested, 52 (9.4 %) tested positive. 277 (50.3 %) were tested for accessing irritable bowel syndrome treatment, 142 (25.8 %) due to presenting for diarrhoea. The proportion of patients testing positive with different symptoms or for different treatments were similar. Of 43 customers who returned the satisfaction survey, all would recommend the service to others, believing the community pharmacy to be a suitable location. Community pharmacists believed that it enabled them to improve relationships with their customers and that medical practices were receptive to the service. Conclusion This proof of concept study has shown that community pharmacies using a point of care test can effectively recognise and refer patients for confirmatory coeliac disease testing with high levels of customer and service provider satisfaction.

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“…The search strategies have been developed from two previous systematic and umbrella review search strategies [ 2 , 11 ] and an example search strategy is shown for Medline in Additional file 2 . To ensure the sensitivity of the searches, five articles [ 5 , 6 , 16 – 18 ] known to the authors that met the inclusion criteria were identified. The search strategy was piloted in each of the databases and all of the five articles were retrieved.…”

Section: Methodsmentioning

confidence: 99%

The effects of community pharmacy public health interventions on population health and health inequalities: a systematic review of reviews protocol

et al. 2017

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BackgroundCommunity pharmacies have great potential to deliver services aimed at promoting health and preventing disease, and are embedded within communities. In the light of a rapid increase in community pharmacy-delivered public health services and an accompanying increase in the evidence base, this systematic review of reviews will synthesise systematic reviews of public health community pharmacy interventions and assess their effects on public health and health inequalities.Methods/designSystematic review methodology will be used to identify all systematic reviews that describe the health and health equity effects of community pharmacy public health interventions. Twenty databases will be searched using a pre-determined search strategy to evaluate community pharmacy-delivered public health interventions. Findings from the included reviews will be pooled, and a narrative synthesis executed to identify overarching patterns and results.DiscussionFindings will support future decision-making around how community pharmacy public health services can be used alongside other strategies to promote health, prevent disease and reduce health inequalities.Systematic review registrationPROSPERO registration number: CRD42017056264.Electronic supplementary materialThe online version of this article (10.1186/s13643-017-0573-9) contains supplementary material, which is available to authorized users.

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Promoting the early detection of cancer: A systematic review of community pharmacy-based education and screening interventions

Cited by 38 publications

References 23 publications

Health promotion of bowel cancer and breast cancer screening in community pharmacies: Pharmacists’ perceptions of their role, knowledge and confidence

Health promotion of bowel cancer and breast cancer screening in community pharmacies: Pharmacists’ perceptions of their role, knowledge and confidence

Early recognition of coeliac disease through community pharmacies: a proof of concept study

The effects of community pharmacy public health interventions on population health and health inequalities: a systematic review of reviews protocol

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