GP participation in increasing uptake in a national bowel cancer screening programme: the PEARL project

British Journal of Cancer
Sally C BentonStephen W Duffy

Abstract

The NHS Bowel Cancer Screening Programme (BCSP) in England does not involve general practitioners (GPs). Uptake is ∼58%. The Practice Endorsed Additional Reminder Letter (PEARL) study piloted a GP-endorsed reminder letter. General practices in Wessex with uptake <55% (prevalent invitations) were invited to participate. Subjects who had been invited for screening, sent a standard 28-day BCSP reminder letter but had not returned a test kit within 30 days of the standard reminder were sent a second reminder letter bearing the GP's letterhead and signature. Uptake was compared between PEARL and non-PEARL practices by standardised uptake ratio (standardised for prior prevalent uptake and other confounders). In addition, 25 non-PEARL practices were matched with PEARL practices for prior prevalent uptake and number of invitees. Twenty-five practices agreed to participate. A total of 3149 GP-endorsed reminders were sent. Uptake in the PEARL practices was 54% compared with 51% in the matched-control practices. The adjusted RR for uptake was 1.08 (95% CI: 1.05, 1.11, P<0.001) for all invitees and 2.18 (1.79, 2.66, P<0.001) for invitees who had not returned a kit following the standard reminder. The GP-endorsed reminder was associated wit...Continue Reading

References

Oct 15, 2009·The American Journal of Gastroenterology·Carlo SenoreNereo Segnan
May 15, 2013·BMC Public Health·Laura CamilloniUNKNOWN Methods to increase participation Working Group
Nov 26, 2013·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Nicola J HallColin J Rees
Jan 8, 2016·British Journal of Cancer·Rosalind RaineWendy Atkin
Jan 20, 2016·British Journal of Cancer·Prue C AllgoodStephen W Duffy
Oct 19, 2016·Journal of Medical Screening·Stephen W DuffyAbeera Mohammad

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Citations

Jan 22, 2019·Bulletin du cancer·Amélie Aïm-EusébiIsabelle Aubin-Auger
Apr 22, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Harpreet Kaur Sekhon Inderjit SinghNikhil Pawa
Sep 23, 2020·Journal of Medical Ethics·Lotte Elton

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Software Mentioned

Stata
ASCEND
PEARL
ORACLE

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