Fidélisation aux programmes de dépistage du cancer du sein en Suisse: rôle central du médecin

Abstract

Characteristics of first-round attendees and determinants of reattendance in the Swiss mammography screening pilot programme (1993-1998) were investigated. Data on socio-demographic features, health preventive behaviour and history, prior screening round and referring physicians' attributes were collected at initial attendance among women enrolled in 1993-1995. First-round participants (n = 4,162) were prospectively followed through next screening round. Determinants of reattendance (second-round attendance among first-round participants) were identified by multivariate logistic regression models. The reattendance rate was high (80%). Women most likely to reattend were urban, Swiss residents with a true-negative first-round screening result. The more intensive the initial recruitment efforts, the lesser were the odds of reattendance. Mammography screening prior to screening enrolment increased reattendance. Having a gynaecologist, a female and a younger doctor as a referring physician was positively associated with reattendance. Mammography screening attendance is not only influenced by women-related factors but also by structural factors, and thus requires a global approach. For strategies aimed at improving the impact of organised cancer screening programmes, understanding and quantification of determinants of (re)attendance are key elements to consider.

Systematic reviews as a “lens of evidence”: Determinants of participation in breast cancer screening

“… 19 , 22 , 27 , 33 Such inconsistencies in measures and definitions of screening participation are common in reviews of other cancer screening programs. 10 The definitions of the European guidelines for quality assurance in BCS and diagnosis for “participation rate,” “coverage by invitation,” and “coverage by screening” 15 should be reinforced to follow globally, to avoid confusion in the assessment, reporting, and interpretation of BCS participation.…”

“… 9 This definition was mainly referred to as “participation” or “uptake” in the literature. 9 – 11 A secondary outcome that we used was attendance or coverage. Coverage is defined by the European Guidelines for Quality Assurance in Breast Cancer Screening and Diagnosis as the percentage of the target population undergoing screening.…”

Breast cancer screening attendance in two Swiss regions dominated by opportunistic or organized screening

“…Finally, other factors that may be significant determinants of BC screening utilization have not been recorded in the current study [ 20 , 21 , 42 , 45 ], such as promotion of BC screening by the government, cancer leagues, medical organizations and lay press. Furthermore, personal or family BC history, knowledge and beliefs in the benefits of screening, and attitude of gynecologists and other medical doctors [ 46 , 47 ] towards BC screening may be of importance.…”

Geographic access to mammography screening centre and participation of women in the Quebec Breast Cancer Screening Programme

“…Furthermore, the percentage of persons living in rural area within a designated area was also associated with the probability of having had a mammogram 10. Many studies reported that women living in rural areas were less likely to have mammography screening,10 12–14 or to reattend a second round of screening,15 16 than their urban counterparts. However, to the best of our knowledge, no study to date has investigated whether the rural–urban classification modifies the impact of distance on participation in breast cancer screening and whether participants really use the facility nearest to their home.…”