O'Connor A M, Griffiths C J, Underwood M R, Eldridge S
Lower Clapton Health Centre, Hackney, UK.
J Med Screen. 1998;5(1):49-52. doi: 10.1136/jms.5.1.49.
To determine the effect on the uptake of breast screening of a personalized letter from the general practitioner recommending mammography, sent to coincide with an invitation from the NHS breast screening programme.
Randomised control trial with stratification of prognostic variables.
A group practice in Hackney, east London.
473 women invited for breast screening by the City and East London Breast Screening Service.
Attendance for mammography.
All women in the randomised trial were followed up; 134 of 236 (57%) randomly allocated to receive the prompting letter attended for mammography compared with 120 of 234 (51%) controls This difference was not significant (chi 2 = 1.43, p = 0.23)
Personal recommendation by a letter prompting attendance for mammography from the general practitioner known best to women due to be screened did not improve uptake of breast screening in this east London practice. Other strategies are needed to increase uptake of mammography in inner cities.
确定全科医生发出的个性化信件对乳房筛查接受率的影响，该信件推荐进行乳房X光检查，且与英国国家医疗服务体系（NHS）乳房筛查计划的邀请同时发出。
对预后变量进行分层的随机对照试验。
伦敦东部哈克尼的一家团体诊所。
473名由伦敦市和东伦敦乳房筛查服务机构邀请进行乳房筛查的女性。
乳房X光检查的就诊率。
随机试验中的所有女性均接受了随访；随机分配接受提示信的236名女性中有134名（57%）进行了乳房X光检查，而对照组的234名女性中有120名（51%）进行了检查。这种差异不显著（卡方检验=1.43，p=0.23）。
在伦敦东部的这家诊所，由最了解待筛查女性情况的全科医生发出的提示进行乳房X光检查的信件，并未提高乳房筛查的接受率。需要采取其他策略来提高市中心地区乳房X光检查的接受率。
