Critical appraisal:Baysal HY, Gozum S 2011

From Clinical Guidelines Wiki

Critical Appraisal

Article being appraised

Baysal HY, Gozum S. Effects of health beliefs about mammography and breast cancer and telephone reminders on re-screening in Turkey. Asian Pac J Cancer Prev 2011;12(6):1445-50 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/22126479.


Applicable clinical question

Key Facts

Study Design

quasi-experimental study — Prospective single arm observational study

Study aims:

To assess the effect of telephone reminders on repeat screening mammogram completion

Number of Patients:

740

Of 1372 on a registry 740 who had a previous mammogram and could be contacted were the study population
Reported outcome(s):

Percentage of women who had mammograms after reminders compared to those who had not.
Predictive factors

Results of outcome(s):

Before reminders 3.9% had repeat mammograms compared to 46.4% after.
Predictive factors were lack of awareness of risk, intention, marital status, perceived mammography barriers.

Comments on results:

Observational study with only a pre and post control

Includes an economic evaluation

no

Evidence ratings

Level of evidence

III-3

Risk of bias
Moderate risk of bias Comments: Large number ineligible because not contactable and groups could not be balanced for other factors impacting on the outcome.

Risk of bias assessment: quasi-experimental study

Subject selection procedures
Selected group
Comparability of groups on demographic characteristics and clinical features
Comparable
Measurement of outcomes
Outcome measures blind to technology used
No, but objective measures used
Completeness of follow-up
Was follow-up complete and were all patients included in the analysis?
Reasonable follow-up of all groups (>80% overall and <5% difference between groups)
Size of effect
5 Reason for decision: You really can't directly compare the outcomes for historical controls
Relevance of evidence
1 Additional comments: The intervention was observed to directly ipmact on the outcome of having a mammogram
Result of appraisal

Jutta's tick icon.png Included




Completed by

Prof Ian Olver AM


Jutta's tick icon.png This appraisal has been completed.


Article
Baysal HY, Gozum S. Effects of health beliefs about mammography and breast cancer and telephone reminders on re-screening in Turkey. Asian Pac J Cancer Prev 2011;12(6):1445-50 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/22126479.
Assigned to
User:Ian.olver
Topic area
Guidelines:
Property "Appraisal topic" (as page type) with input value "Guidelines:" contains invalid characters or is incomplete and therefore can cause unexpected results during a query or annotation process.
Clinical question
Form
Form:Critical appraisal


Section below only relevant for Cancer Council Project Officer

Edit appraisal assignment