Carcinoma in Situ of Uterine Cervix Clinical Trial
Official title:
Follow-up of Abnormal and Inadequate Test Results in the Danish Cervical Cancer Screening Program.
Denmark has a higher incidence of cervical cancer than other Nordic countries, although all
Danish women (aged 23-65) are screened regularly to identify possible cervical dysplasia or
asymptomatic invasive cancer.
Annually 40 000 women receives an abnormal or inadequate test result and a follow-up
recommendation.
However problems with delayed follow-up may threaten the effectiveness of the Danish
Cervical Cancer Screening Program, as 20% of women are delayed and dysplasia potentially can
progress into cancer.
Delayed follow-up is found in situations where women either consciously or unconsciously
postpone follow-up, or because of organizational aspects of the screening program, where
communication regarding test results can fail either in content or with delay.This study
will evaluate two interventions designed to increase follow-up:
1. A letter with the test result and potential recommendation for follow up will be sent
to the women (RCT). The intention is to ensure that all women will be notified about
the test result, quickly, homogenously and in layman's written language, still with the
opportunity to contact or be contacted by the general practitioner, if there is special
needs. Furthermore, it is assumed that general practitioner consultations regarding
delivery of normal test results will decrease, so that cost savings is a potential side
benefit
2. Electronic reminder to the general practitioner if women have not had the recommended
follow up, giving the general practioner´s an opportunity to remind the women (retro
perspective cohort study).
The results will be of great importance to the future organisation of cervical and
colorectal cancer screening programmes in Denmark, but will also have international interest
because of their similar challenges.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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