Referral adherence in an inner city breast and cervical cancer screening program
Article first published online: 28 JUN 2006
Copyright © 1993 American Cancer Society
Volume 72, Issue 3, pages 950–955, 1 August 1993
How to Cite
Lacey, L., Whitfield, J., Dewhite, W., Ansell, D., Whitman, S., Chen, E. and Phillips, C. (1993), Referral adherence in an inner city breast and cervical cancer screening program. Cancer, 72: 950–955. doi: 10.1002/1097-0142(19930801)72:3<950::AID-CNCR2820720347>3.0.CO;2-S
- Issue published online: 28 JUN 2006
- Article first published online: 28 JUN 2006
- Manuscript Accepted: 19 MAR 1993
- National Cancer Institute, Special Populations Branch. Grant Number: NCI-NOI-CN-75415
- cancer screening;
- black women
Background. Early detection and immediate follow-up treatment for cancer of the breast and cervix can reduce morbidity and mortality. This report describes adherence to follow-up appointments for suspected breast and cervical malignancies in a population of low-income black women who participated in a community-based nurse-managed screening program.
Methods. Components of the program that were part of the intervention included the following: a consistent referral mechanism augmented by a computerized tickler system; education of women about the importance of follow-up; and active nurse assistance in the follow-up process. Referral for follow-up of suspected malignancies or for other questionable findings was made to the public sector hospital clinics (86%) or to other providers of the women's choice (14%).
Results. Follow-up rates for suspected malignancies of the breast were high (92%) in this population of women, sometimes described as less likely to adhere to recommendations for continued care. In contrast, adherence rates for gynecologic conditions were lower (70%).
Conclusions. This screening program and follow-up system has relevance to systems that serve similar groups of low-income women.