邮寄患者提醒对乳腺钼靶筛查的有效性：一项荟萃分析。

The effectiveness of mailed patient reminders on mammography screening: a meta-analysis.

作者信息

Wagner T H

机构信息

School of Public Health, University of California, Berkeley 94720-7360, USA.

出版信息

Am J Prev Med. 1998 Jan;14(1):64-70. doi: 10.1016/s0749-3797(97)00003-2.

DOI:10.1016/s0749-3797(97)00003-2

PMID:9476837

Abstract

BACKGROUND

Researchers have tried to increase mammography screening rates by using patient-oriented reminders. This paper compares the effectiveness of mailed patient reminders at increasing mammography screening.

METHODS

Sixteen published articles met the inclusion criteria and were included in the meta-analysis. To assess the association between reminders and mammography screening, the Mantel-Haenszel odds ratio (OR) was calculated.

RESULTS

Among U.S. studies in which controls did not receive any type of reminder, women who received reminders were approximately 50% more likely to get a mammogram (OR 1.48; chi(2)MH(1) = 38.27, P < .001). In addition, tailored letters were found to be more effective than generic reminders (OR 1.87; chi(2)MH(1) = 4.70, P < .05). Combining cost and effectiveness data allowed for estimates of cost per woman screened, which ranged from $0.96 to $5.88.

CONCLUSIONS

Patient reminders are effective at increasing mammography screening. More research is needed to assess (1) the cost-effectiveness of patient reminders and (2) their effectiveness across race, education, income, and type of insurance.

摘要

背景

研究人员试图通过使用以患者为导向的提醒来提高乳房X光检查的筛查率。本文比较了邮寄患者提醒在增加乳房X光检查筛查方面的有效性。

方法

16篇已发表的文章符合纳入标准，并被纳入荟萃分析。为了评估提醒与乳房X光检查筛查之间的关联，计算了Mantel-Haenszel优势比（OR）。

结果

在美国的研究中，对照组未收到任何类型的提醒，收到提醒的女性进行乳房X光检查的可能性大约高50%（OR 1.48；χ²MH(1)=38.27，P<.001）。此外，发现定制信件比通用提醒更有效（OR 1.87；χ²MH(1)=4.70，P<.05）。结合成本和有效性数据可以估算出每位接受筛查女性的成本，范围从0.96美元到5.88美元。