PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of brjgenpracRCGP homepageJ R Coll Gen Pract at PubMed CentralBJGP at RCGPBJGP at RCGP
 
Br J Gen Pract. 1993 December; 43(377): 503–506.
PMCID: PMC1372614

Preliminary results of a general practice based call system for cervical cancer screening in The Netherlands.

Abstract

A study was undertaken in Nijmegen, in the Netherlands, to compare the attendance rate following a call system for cervical cancer screening organized by general practitioners, with the attendance rate resulting from the Dutch national call system. Women are invited for screening on a three yearly basis and in 1990 1616 women were identified by nine practices as being in the appropriate age group (35 to 54 years) to attend for cervical cancer screening while 10,387 women were identified by the national call system. The attendance rate among the 1101 women in the rural general practices was 58%, compared with 49% of 4154 women in the matched group receiving an invitation from the national call system. The attendance rate among the 515 women in the urban general practices was 55%, compared with 41% of 6233 women in the matched group receiving an invitation from the national call system. Invitations from general practitioners resulted in similar percentages of women in all age groups attending for screening. Four general practices sent a reminder letter or made a telephone call to non-attenders. A reminder increased the attendance rate from 58% to 70%. It is concluded that a general practice based call system for cervical screening produces a higher attendance rate than the national call system.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (930K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Day NE. Effect of cervical cancer screening in Scandinavia. Obstet Gynecol. 1984 May;63(5):714–718. [PubMed]
  • Lără E, Day NE, Hakama M. Trends in mortality from cervical cancer in the Nordic countries: association with organised screening programmes. Lancet. 1987 May 30;1(8544):1247–1249. [PubMed]
  • Lynge E, Madsen M, Engholm G. Effect of organized screening on incidence and mortality of cervical cancer in Denmark. Cancer Res. 1989 Apr 15;49(8):2157–2160. [PubMed]
  • Sigurdsson K, Adalsteinsson S, Tulinius H, Ragnarsson J. The value of screening as an approach to cervical cancer control in Iceland, 1964-1986. Int J Cancer. 1989 Jan 15;43(1):1–5. [PubMed]
  • Day NE. Screening for cancer of the cervix. J Epidemiol Community Health. 1989 Jun;43(2):103–106. [PMC free article] [PubMed]
  • Schwartz Z, Dgani R, Lancet M, Kessler I. Uterine sarcoma in Israel: a study of 104 cases. Gynecol Oncol. 1985 Mar;20(3):354–363. [PubMed]
  • Murphy MF, Campbell MJ, Goldblatt PO. Twenty years' screening for cancer of the uterine cervix in Great Britain, 1964-84: further evidence for its ineffectiveness. J Epidemiol Community Health. 1988 Mar;42(1):49–53. [PMC free article] [PubMed]
  • Brindle G, Wakefield J, Yule R. Cervical smears: are the right women being examined? Br Med J. 1976 May 15;1(6019):1196–1197. [PMC free article] [PubMed]
  • Kleinman JC, Kopstein A. Who is being screened for cervical cancer? Am J Public Health. 1981 Jan;71(1):73–76. [PubMed]
  • Eardley A, Elkind AK, Spencer B, Hobbs P, Pendleton LL, Haran D. Attendance for cervical screening--whose problem? Soc Sci Med. 1985;20(9):955–962. [PubMed]
  • Ridsdale LL. Cervical screening in general practice: call and recall. J R Coll Gen Pract. 1987 Jun;37(299):257–259. [PMC free article] [PubMed]
  • Havelock CM, Webb J, Queenborough J. Preliminary results of a district call scheme for cervical screening organised in general practice. BMJ. 1988 Nov 26;297(6660):1384–1386. [PMC free article] [PubMed]
  • Shroff KJ, Corrigan AM, Bosher M, Edmonds MP, Sacks D, Coleman DV. Cervical screening in an inner city area: response to a call system in general practice. BMJ. 1988 Nov 19;297(6659):1317–1318. [PMC free article] [PubMed]
  • Pierce M, Lundy S, Palanisamy A, Winning S, King J. Prospective randomised controlled trial of methods of call and recall for cervical cytology screening. BMJ. 1989 Jul 15;299(6692):160–162. [PMC free article] [PubMed]
  • Robertson AJ, Reid GS, Stoker CA, Bissett C, Waugh N, Fenton I, Rowan J, Halkerston R. Evaluation of a call programme for cervical cytology screening in women aged 50-60. BMJ. 1989 Jul 15;299(6692):163–166. [PMC free article] [PubMed]
  • Beardow R, Oerton J, Victor C. Evaluation of the cervical cytology screening programme in an inner city health district. BMJ. 1989 Jul 8;299(6691):98–100. [PMC free article] [PubMed]
  • Bowling A, Jacobson B. Screening: the inadequacy of population registers. BMJ. 1989 Mar 4;298(6673):545–546. [PMC free article] [PubMed]
  • van der Graaf Y, Vooijs PG, Zielhuis GA. Population screening for cervical cancer in the region of Nijmegen, The Netherlands 1976-1985. Gynecol Oncol. 1988 Jul;30(3):388–397. [PubMed]
  • van der Graaf Y, Klinkhamer PJ, Vooijs GP. Effect of population screening for cancer of the uterine cervix in Nijmegen, The Netherlands. Prev Med. 1986 Nov;15(6):582–590. [PubMed]
  • Koopmanschap MA, van Oortmarssen GJ, van Agt HM, van Ballegooijen M, Habbema JD, Lubbe KT. Cervical-cancer screening: attendance and cost-effectiveness. Int J Cancer. 1990 Mar 15;45(3):410–415. [PubMed]
  • Palm BT, Kant AC, van den Bosch WJ, de Beijer CW, Gerrits ME, van Weel C. Implementation of the national cervical cancer screening in general practice and feasibility of a general practice-based call system: the GP's opinion. Fam Pract. 1993 Jun;10(2):173–177. [PubMed]

Articles from The British Journal of General Practice are provided here courtesy of Royal College of General Practitioners