Related Experiment Video
Updated: Aug 9, 2026
13:44
Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
Published on: August 30, 2013
Cost-effectiveness comparison of five interventions to increase mammography screening
R M Saywell1, V L Champion, C S Skinner
1Department of Family Medicine and Bowen Research Center, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA. rsaywell@iupui.edu
Preventive Medicine
|November 18, 1999
Summary
A telephone-plus-letter strategy significantly increased mammography screening compliance. This approach proved most cost-effective, making it an economical intervention for boosting screening rates in women.
Area of Science:
- Public Health
- Preventive Medicine
- Health Services Research
Background:
- Mammography is crucial for breast cancer screening, but adherence to guidelines remains suboptimal.
- Low screening compliance necessitates effective interventions to improve public health outcomes.
Purpose of the Study:
- To evaluate the cost-effectiveness of various strategies combining physician recommendations with telephone or in-person counseling to enhance mammography screening compliance.
Main Methods:
- 808 participants were randomized into six groups.
- Logistic regression analyzed compliance differences; cost-effectiveness ratios were calculated.
Main Results:
- In-person, telephone-plus-letter, and in-person-plus-letter interventions showed significantly higher compliance than control or physician letter/telephone alone.
- The telephone-plus-letter strategy was the most cost-effective, yielding a 35.6% compliance rate at $0.78 per 1% increase in screened women.
Conclusions:
- Tailored telephone prompts combined with physician reminders offer an effective and economical method to increase mammography screening.
- Further research is recommended to validate these findings and assess their practical implementation.
