title: Intervention to increase recommendation and delivery of screening for breast, cervical, and colorectal cancers by healthcare providers a systematic review of provider reminders.
abstract: Most major medical organizations recommend routine screening for breast, cervical, and colorectal cancers. Screening can lead to early detection of these cancers, resulting in reduced mortality. Yet, not all people who should be screened are screened regularly or, in some cases, ever. This report presents results of systematic reviews of effectiveness, applicability, economic efficiency, barriers to implementation, and other harms or benefits of provider reminder/recall interventions to increase screening for breast, cervical, and colorectal cancers. These interventions involve using systems to inform healthcare providers when individual clients are due (reminder) or overdue (recall) for specific cancer screening tests. Evidence in this review of studies published from 1986 through 2004 indicates that reminder/recall systems can effectively increase screening with mammography, Pap, fecal occult blood tests, and flexible sigmoidoscopy. Additional research is needed to determine if provider reminder/recall systems are effective in increasing colorectal cancer screening by colonoscopy. Specific areas for further research are also suggested.
authors.affiliation: Community Guide Branch, National Center for Health Marketing, CDC, Atlanta, Georgia 30333, USA.
authors.forename: Roy C
authors.initials: RC
authors.lastname: Baron
authors.forename: Stephanie
authors.initials: S
authors.lastname: Melillo
authors.forename: Barbara K
authors.initials: BK
authors.lastname: Rimer
authors.forename: Ralph J
authors.initials: RJ
authors.lastname: Coates
authors.forename: Jon
authors.initials: J
authors.lastname: Kerner
authors.forename: Nancy
authors.initials: N
authors.lastname: Habarta
authors.forename: Sajal
authors.initials: S
authors.lastname: Chattopadhyay
authors.forename: Susan A
authors.initials: SA
authors.lastname: Sabatino
authors.forename: Randy
authors.initials: R
authors.lastname: Elder
authors.forename: Kimberly Jackson
authors.initials: KJ
authors.lastname: Leeks
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis*; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D005260:Female; D006282:Health Personnel; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D017010:Reminder Systems; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*