Promoting early presentation of breast cancer in women over 70 years old in general practice

Jackie Campbell, Michelle Pyer, Stephen Rogers, J Jones, A J Ramirez, L J L Forbes

Research output: Contribution to journalArticleResearchpeer-review

1 Downloads (Pure)

Abstract

Background Delay in presentation contributes to poorer survival of older women with breast cancer. Research has shown the effectiveness of the promoting early presentation (PEP) intervention when delivered by radiographers in the NHS Breast Screening Programme. This paper investigates the effectiveness of the intervention when delivered by practice nurses in general practice. Methods The Breast Cancer Awareness Measure was used to compare participants' awareness of breast cancer before, 1 month after and 12 months after the delivery of the PEP intervention. Five hundred and fifty-six women aged over 70 years took part, 308 of whom returned all three surveys. Results The intervention was associated with increased awareness of non-lump breast symptoms and reported breast check frequency. There was a marked increase in breast cancer awareness which persisted for 12 months. Less than 5% of women were classified as ‘breast cancer aware’ before the intervention, rising to over 25% 1 month afterwards. This percentage dropped slightly after 1 year to just below 20%. Conclusion Delivery of the PEP intervention in general practice was very effective at raising the awareness of breast cancer among older women. Primary care settings are well placed to enhance the reach of this kind of intervention to at-risk women.
Original languageEnglish
JournalJournal of Public Health
Volume38
Issue number2
Early online date10 Sep 2015
DOIs
Publication statusPublished - 17 Oct 2016

Fingerprint

General Practice
Breast Neoplasms
Breast
Primary Health Care
Nurses
Survival
Research

Keywords

  • Cancer
  • primary care
  • public health

Cite this

@article{9d763c397f554e0784b2664e58c5f52c,
title = "Promoting early presentation of breast cancer in women over 70 years old in general practice",
abstract = "Background Delay in presentation contributes to poorer survival of older women with breast cancer. Research has shown the effectiveness of the promoting early presentation (PEP) intervention when delivered by radiographers in the NHS Breast Screening Programme. This paper investigates the effectiveness of the intervention when delivered by practice nurses in general practice. Methods The Breast Cancer Awareness Measure was used to compare participants' awareness of breast cancer before, 1 month after and 12 months after the delivery of the PEP intervention. Five hundred and fifty-six women aged over 70 years took part, 308 of whom returned all three surveys. Results The intervention was associated with increased awareness of non-lump breast symptoms and reported breast check frequency. There was a marked increase in breast cancer awareness which persisted for 12 months. Less than 5{\%} of women were classified as ‘breast cancer aware’ before the intervention, rising to over 25{\%} 1 month afterwards. This percentage dropped slightly after 1 year to just below 20{\%}. Conclusion Delivery of the PEP intervention in general practice was very effective at raising the awareness of breast cancer among older women. Primary care settings are well placed to enhance the reach of this kind of intervention to at-risk women.",
keywords = "Cancer, primary care, public health",
author = "Jackie Campbell and Michelle Pyer and Stephen Rogers and J Jones and Ramirez, {A J} and Forbes, {L J L}",
year = "2016",
month = "10",
day = "17",
doi = "10.1093/pubmed/fdv125",
language = "English",
volume = "38",
journal = "Journal of Public Health",
issn = "1741-3842",
publisher = "Oxford University Press",
number = "2",

}

Promoting early presentation of breast cancer in women over 70 years old in general practice. / Campbell, Jackie; Pyer, Michelle; Rogers, Stephen; Jones, J; Ramirez, A J; Forbes, L J L.

In: Journal of Public Health, Vol. 38, No. 2, 17.10.2016.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Promoting early presentation of breast cancer in women over 70 years old in general practice

AU - Campbell, Jackie

AU - Pyer, Michelle

AU - Rogers, Stephen

AU - Jones, J

AU - Ramirez, A J

AU - Forbes, L J L

PY - 2016/10/17

Y1 - 2016/10/17

N2 - Background Delay in presentation contributes to poorer survival of older women with breast cancer. Research has shown the effectiveness of the promoting early presentation (PEP) intervention when delivered by radiographers in the NHS Breast Screening Programme. This paper investigates the effectiveness of the intervention when delivered by practice nurses in general practice. Methods The Breast Cancer Awareness Measure was used to compare participants' awareness of breast cancer before, 1 month after and 12 months after the delivery of the PEP intervention. Five hundred and fifty-six women aged over 70 years took part, 308 of whom returned all three surveys. Results The intervention was associated with increased awareness of non-lump breast symptoms and reported breast check frequency. There was a marked increase in breast cancer awareness which persisted for 12 months. Less than 5% of women were classified as ‘breast cancer aware’ before the intervention, rising to over 25% 1 month afterwards. This percentage dropped slightly after 1 year to just below 20%. Conclusion Delivery of the PEP intervention in general practice was very effective at raising the awareness of breast cancer among older women. Primary care settings are well placed to enhance the reach of this kind of intervention to at-risk women.

AB - Background Delay in presentation contributes to poorer survival of older women with breast cancer. Research has shown the effectiveness of the promoting early presentation (PEP) intervention when delivered by radiographers in the NHS Breast Screening Programme. This paper investigates the effectiveness of the intervention when delivered by practice nurses in general practice. Methods The Breast Cancer Awareness Measure was used to compare participants' awareness of breast cancer before, 1 month after and 12 months after the delivery of the PEP intervention. Five hundred and fifty-six women aged over 70 years took part, 308 of whom returned all three surveys. Results The intervention was associated with increased awareness of non-lump breast symptoms and reported breast check frequency. There was a marked increase in breast cancer awareness which persisted for 12 months. Less than 5% of women were classified as ‘breast cancer aware’ before the intervention, rising to over 25% 1 month afterwards. This percentage dropped slightly after 1 year to just below 20%. Conclusion Delivery of the PEP intervention in general practice was very effective at raising the awareness of breast cancer among older women. Primary care settings are well placed to enhance the reach of this kind of intervention to at-risk women.

KW - Cancer

KW - primary care

KW - public health

U2 - 10.1093/pubmed/fdv125

DO - 10.1093/pubmed/fdv125

M3 - Article

VL - 38

JO - Journal of Public Health

JF - Journal of Public Health

SN - 1741-3842

IS - 2

ER -