scholarly journals Financial incentives for breast cancer screening undermine informed choice

BMJ ◽  
2022 ◽  
pp. e065726
Author(s):  
Theodore Bartholomew ◽  
Mirela Colleoni ◽  
Harald Schmidt
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Financial Incentives ◽  
Informed Choice

scholarly journals A dynamic web-based decision aid to improve informed choice in organised breast cancer screening. A pragmatic randomised trial in Italy

2020 ◽  
Vol 123 (5) ◽  
pp. 714-721 ◽  
Author(s):  
Anna Roberto ◽  
Cinzia Colombo ◽  
Giulia Candiani ◽  
Roberto Satolli ◽  
Livia Giordano ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Decision Aid ◽  
Randomised Trial ◽  
Informed Choice ◽  
Web Based ◽  
Dynamic Web

scholarly journals Informed Choice and Breast Cancer Screening

2006 ◽  
Vol 2 (6) ◽  
pp. 835-838
Author(s):  
Michael Baum
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Informed Choice

scholarly journals Use of a decision aid including information on overdetection to support informed choice about breast cancer screening: a randomised controlled trial

The Lancet ◽  
2015 ◽  
Vol 385 (9978) ◽  
pp. 1642-1652 ◽  
Author(s):  
Jolyn Hersch ◽  
Alexandra Barratt ◽  
Jesse Jansen ◽  
Les Irwig ◽  
Kevin McGeechan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Randomised Controlled Trial ◽  
Breast Cancer Screening ◽  
Decision Aid ◽  
Controlled Trial ◽  
Informed Choice ◽  
Randomised Controlled

scholarly journals Effect of provider and patient reminders, deployment of nurse practitioners, and financial incentives oncervical and breast cancer screening rates

2021 ◽  
Author(s):  
Janusz Kaczorowski ◽  
Stephen JC Hearps ◽  
Lynne Lohfeld ◽  
Ron Goeree ◽  
Faith Donald ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Nurse Practitioners ◽  
Financial Incentives

Effect of provider and patient reminders, deployment of nurse practitioners, and financial incentives oncervical and breast cancer screening rates

scholarly journals Assessment of the effects of decision aids about breast cancer screening: a systematic review and meta-analysis

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e016894 ◽  
Author(s):  
Montserrat Martínez-Alonso ◽  
Misericòrdia Carles-Lavila ◽  
Maria José Pérez-Lacasta ◽  
Anna Pons-Rodríguez ◽  
Montse Garcia ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Systematic Review ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Meta Analysis ◽  
Decision Aids ◽  
Informed Choice ◽  
Decisional Conflict ◽  
Informed Decision ◽  
Secondary Outcomes

ObjectiveThe aim of this systematic review and meta-analysis of randomised controlled trials (RCTs) and observational studies is to assess the effect of decision aids (DAs) in women aged 50 and below facing the decision to be screened for breast cancer.SettingScreening for breast cancer.InterventionDAs aimed to help women make a deliberative choice regarding participation in mammography screening by providing information on the options and outcomes.Eligible studiesWe included published original, non-pilot, studies that assess the effect of DAs for breast cancer screening. We excluded the studies that evaluated only participation intention or actual uptake. The studies’ risk of bias was assessed with the Cochrane Collaboration’s tool for RCTs and the National Institutes of Health Quality Assessment Tool for non-RCTs.Primary and secondary outcomesThe main outcome measures were informed choice, decisional conflict and/or confidence, and knowledge. Secondary outcomes were values, attitudes, uncertainty and intention to be screened.ResultsA total of 607 studies were identified, but only 3 RCTs and 1 before-after study were selected. The use of DAs increased the proportion of women making an informed decision by 14%, 95% CI (2% to 27%) and the proportion of women with adequate knowledge by 12%, 95% CI (7% to 16%). We observed heterogeneity among the studies in confidence in the decision. The meta-analysis of the RCTs showed a significant decrease in confidence in the decision and in intention to be screened.ConclusionsTools to aid decision making in screening for breast cancer improve knowledge and promote informed decision; however, we found divergent results on decisional conflict and confidence in the decision. Under the current paradigm change, which favours informed choice rather than maximising uptake, more research is necessary for the improvement of DAs.

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