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Promoting early presentation of breast cancer in older women: Implementing an evidence-based intervention in routine clinical practice

Forbes, Lindsay J.L., Forster, Alice S., Dodd, Rachael H., Tucker, Lorraine, Laming, Rachel, Sellars, Sarah, Patnick, Julietta, Ramirez, Amanda J. (2012) Promoting early presentation of breast cancer in older women: Implementing an evidence-based intervention in routine clinical practice. Journal of Cancer Epidemiology, 2012 . ISSN 1687-8558. E-ISSN 1687-8566. (doi:10.1155/2012/835167) (KAR id:77973)


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.

Item Type: Article
DOI/Identification number: 10.1155/2012/835167
Additional information: Unmapped bibliographic data: C7 - 835167 [EPrints field already has value set] DB - Scopus [Field not mapped to EPrints] M3 - Article [Field not mapped to EPrints]
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Lindsay Forbes
Date Deposited: 28 Oct 2019 16:17 UTC
Last Modified: 16 Nov 2021 10:26 UTC
Resource URI: (The current URI for this page, for reference purposes)

University of Kent Author Information

Forbes, Lindsay J.L..

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