Kaushal Aradhna, Ramirez Amanda J, Warburton Fiona, Forster Alice S, Linsell Louise, Burgess Caroline, Tucker Lorraine, Omar Lynne, Forbes Lindsay Jl
Promoting Early Presentation Group, King's College London, London, UK.
J Med Screen. 2017 Sep;24(3):163-165. doi: 10.1177/0969141316667408. Epub 2016 Oct 9.
Objective In a randomized controlled trial, the Promoting Early Presentation intervention increased older women's breast cancer awareness after two years. We investigated whether this increase was sustained at three years, and the effect on breast screening self-referral. Methods We randomly allocated 867 women attending their final invited breast screening appointment to the Promoting Early Presentation intervention or usual care. We examined breast cancer awareness after three years and breast screening self-referrals after four years. Results Women in the Promoting Early Presentation intervention arm had higher breast cancer awareness at three years than the usual care arm (odds ratio: 10.4; 95% confidence interval: 3.1 to 34.8). There were no differences in proportions self-referring for breast screening between arms, but statistical power was limited. Conclusion The Promoting Early Presentation intervention has a sustained effect on breast cancer awareness in older women. The effect on self-referral for breast screening is unclear.
目的 在一项随机对照试验中，“促进早期就诊”干预措施在两年后提高了老年女性对乳腺癌的认识。我们调查了这种提高在三年后是否持续存在，以及对乳房筛查自我转诊的影响。方法 我们将867名参加最后一次受邀乳房筛查预约的女性随机分配到“促进早期就诊”干预组或常规护理组。我们在三年后检查了乳腺癌意识，并在四年后检查了乳房筛查自我转诊情况。结果 “促进早期就诊”干预组的女性在三年后的乳腺癌意识高于常规护理组（优势比：10.4；95%置信区间：3.1至34.8）。两组之间乳房筛查自我转诊的比例没有差异，但统计效力有限。结论 “促进早期就诊”干预措施对老年女性的乳腺癌意识有持续影响。对乳房筛查自我转诊的影响尚不清楚。
