A randomized study of cancer screening in a family practice setting using a recall model.
A randomized controlled study that evaluated a recall system and patient education material by mail in 178 asymptomatic female family practice patients aged 50 to 69 years showed no effect on the proportion of patients who had cancer screening tests (P = .20) and a significant adverse effect on the mean number of tests performed (P = .05) after 4 months. In a subgroup of previous compliers (those who had one or more tests 12 months before the study), however, there was a lower proportion of patients receiving one or more tests (P = .019) with a lower mean number of tests (P = .007) than previous compliers in the control group. Recall strategies for cancer screening tests need to be more extensively studied in the United States before they are routinely adopted in family practice.
Department of Family Practice, University of Illinois College of Medicine, Peoria 61614.
G L
GL
Clementz
J C
JC
Aldag
T T
TT
Gladfelter
A M
AM
Barclay
H F
HF
Brooks
D000368:Aged; D005194:Family Practice; D005260:Female; D006801:Humans; D008403:Mass Screening; D008875:Middle Aged; D009369:Neoplasms / Q000517:prevention & control*; D010349:Patient Compliance; D010353:Patient Education as Topic; D011177:Postal Service; D016032:Randomized Controlled Trials as Topic; D014481:United States