Interactive dashboard provides new insight into cervical screening coverage

GPs and health organisations will be able to improve cervical screening rates thanks to an innovative new online data tool | NHS Digital

It is hoped that the interactive dashboard will help identify areas where screening levels could be improved and encourage work to boost coverage.

The dashboard will provide more detailed and timely information about cervical screening and will help Clinical Commissioning Groups (CCGs), GP practices and local authorities to improve coverage rates for the potentially lifesaving test, which are currently falling.

NHS Digital, Public Health England (PHE) and Jo’s Cervical Cancer Trust have collaborated on the initiative, which aims to provide easier access to the latest data about cervical screening3. This is part of a PHE-led project to empower GP practices and CCGs to improve cervical screening attendance and coverage rates.

Household screening could reduce tuberculosis transmission in England

Screening people who live in the same household as a person diagnosed with tuberculosis (TB) for the disease could help reduce its transmission in low-incidence countries, such as England | OnMedica

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If screening is limited to those that have come into contact with pulmonary TB cases – as recently recommended in UK guidelines – one quarter of TB cases could be missed, researchers at Public Health England suggest.

The research team looked at all TB cases notified in 2010-12 in England that were likely to be caused by recent transmission from another person living in the same household, to see whether the same strain that caused the disease in index and subsequent cases.

The researchers found that 7.7% (1,849 out of 24,060) of all TB cases reported between 2010 and 2012 shared a house with at least one other TB case. However, 25% of these cases had discordant strains of the TB bacterium, which means that they were not transmitted by the infected person living in the home. In total, 3.9% of TB cases in England were estimated to be due to recent household transmission. However, strain data were unavailable for 67% (1,242) of household pairs.

Benefits and harms of breast cancer screening in women aged 40-49 years

Early detection of breast cancer through screening can lower breast cancer mortality rates and reduce the burden of this disease in the population | International Journal of Cancer

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In most western countries, mammography screening starting from age 50 is recommended. However, there is debate about whether breast cancer screening should be extended to younger women. This systematic review provides an overview of the evidence from RCT’s on the benefits and harms of breast cancer screening with mammography in women aged 40 to 49 years. The quality of the evidence for each outcome was appraised using the GRADE approach.

Four articles reporting on two different trials, the Age trial and the Canadian National Breast Screening Study-I (CNBSS-I), were included. The results showed no significant effect on breast cancer mortality (Age trial: RR 0.93, 95% CI 0.80-1.09; CNBSS-I: HR 1.10 (95% CI 0.86-1.40) nor on all-cause mortality (RR 0.98, 95% CI 0.93-1.03) in women aged 40 to 49 years offered screening. Among regularly attending women the cumulative risk of experiencing a false-positive recall was 20.5%. Overdiagnosis of invasive breast cancer at five years post cessation of screening for women aged 40to 49 years was estimated to be 32%; 20 years post cessation of screening 48%. Including ductal carcinoma in situ, these numbers were 41% and 55%.

Based on the current evidence from randomised trials, extending mammography screening to younger age groups cannot be recommended. However there were limitations including relatively low sensitivity of screening and screening attendance, insufficient power, and contamination, which may explain the non-significant results.

Full reference: van den Ende, C. et al. (2017) Benefits and harms of breast cancer screening with mammography in women aged 40-49 years: A systematic review. International Journal of Cancer. DOI: 10.1002/ijc.30794

Clinics should choose women’s breast screening appointment times to improve attendance

For women who miss a breast screening appointment, giving a fixed date and time for a new appointment could improve poor attendance and be a cost-effective way to shift national participation trends | ScienceDaily

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In England, participation in breast cancer screening has been falling in the last ten years, getting close to the national minimum standard of 70 per cent, with screening particularly low in areas of socioeconomic deprivation.

The NHS Breast Screening Programme (NHSBSP) invites women aged 50-70 to mammographic screening every three years. The usual practice for those who don’t attend their first offered appointment is to issue them with a second invitation letter. Some centres supply ‘open’ invitations, asking women to telephone to make an appointment, while others send an invitation with a fixed date and time, requiring no effort from the invitee to book an appointment.

Read the full overview via ScienceDaily here

Read the original research article here

Bowel cancer screening: benefits and risks

This leaflet explains the benefits and risks of bowel cancer screening in English, large print, 20 other languages and mp3 audio format | PHE

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Image source: PHE

Bowel cancer screening, the facts (Bengali)

Bowel cancer screening, the facts (Chinese)

Screening tests and early pregnancy scanning leaflets updated

Public Health England has updated and rebranded its leaflets on screening tests and pregnancy scans: 

Screening tests for you and your baby:

This booklet gives information on the screening tests offered during pregnancy and after the baby is born. It is available in English and 12 other languages.

Information about the first trimester scan:

This publication sets out early pregnancy ultrasound scan information which has been updated with rebranded artwork:

  • purpose of the scan
  • what will happen in the scan room
  • procedures for after the scan
  • what happens if a problem is found or suspected
  • what will happen if the scan cannot be completed