Jonah Musa|Chad J. Achenbach|Linda O’Dwyer|Charlesnika T. Evans|Megan McHugh|Lifang Hou|Melissa A. Simon|Robert L. Murphy|Neil Jordan
Effect of cervical cancer education and provider recommendation for screening on screening rates: A systematic review and meta-analysis
Northwestern University|Center for Global Health|University of Jos|Northwestern University|Center for Global Health|Northwestern University|Edward Hines, Jr. VA Hospital|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Center for Global Health|Northwestern University
background although cervical cancer largely preventable screening detection treatment precancerous abnormalities remains one top causes cancerrelated morbidity mortality globally objectives objective systematic review understand evidence effect cervical cancer education compared control conditions cervical cancer screening rates eligible women population risk cervical cancer also sought understand effect provider recommendations screening eligible women cervical cancer screening ccs rates compared control conditions eligible women population risk cervical cancer methods used pico problem population interventions comparison outcome framework described cochrane collaboration handbook develop search strategy details search strategy described systematic review protocol published international prospective register systematic reviews prospero protocol registration number crd42016045605 available httpwwwcrdyorkacukprosperodisplayrecordaspsrctripidcrd42016045605 search string used pubmed embase cochrane systematic reviews cochrane central register controlled trials retrieve study reports screened inclusion review data synthesis reporting guided preferred reporting items systematic reviews metaanalysis prisma qualitative synthesis evidence appropriate individual study effects pooled metaanalyses using revman 53 review manager higgins i2 used assess heterogeneity studies pooled together overall summary effects assessment risk bias individual studies included assessed risk publication bias across studies pooled together metaanalysis funnel plot results 3072 study reports screened 28 articles found eligible inclusion qualitative synthesis 5 included metaanalysis educational interventions 8 combined metaanalysis hpv selfsampling interventions 45 excluded various reasons use theorybased educational interventions significantly increased ccs rates double 246 95 ci 188 321 additionally offering women option selfsampling human papillomavirus hpv testing increased ccs rates nearly 2fold 171 95 ci 132 222 also found invitation letters alone follow phone contact making appointment sending reminders patients due overdue screening significant effect improving participation ccs rates populations risk conclusion findings supports implementation theorybased cervical cancer educational interventions increase womens participation cervical cancer screening programs particularly targeting communities low literacy levels additionally cervical cancer screening programs consider option offering women opportunity selfsample collection particularly women responded previous screening invitation reminder letters pap smear collection method screening