Skip to content

Breast Cancer Health Center

Mammogram Reminders Can Be a Lifesaver

Comprehensive Reminders -- Mailings and Phone Calls -- Boost Mammography Rates
Font Size
A
A
A
By
WebMD Health News
Reviewed by Louise Chang, MD

July 14, 2009 -- Mammogram reminders, when given in a step-wise fashion that starts with mailings and ends if necessary with personal phone calls, do boost the number of women who get their routine mammograms on schedule, according to a new study.

The reminder program could save lives, says the study's lead author Adrianne Feldstein, MD, an investigator and medical liaison for research at Kaiser Permanente's Center for Health Research in Portland, Ore.

''If this was widely used we believe we would be able to detect 25,000 additional early breast cancers in the U.S.," Feldstein says of the reminder system she tested.  She bases that estimate on computations such as the number of mammograms per year that lead to a new diagnosis of breast cancer.

Mammography rates have been declining in recent years, according to recent research, with 66% of U.S. women getting routine mammograms in 2005 compared to 70% in 2000.

Mammogram Reminders: Study Details

For the study, Feldstein and her colleagues compared the follow-up, routine mammogram rates of more than 35,000 women who were members of the Kaiser Permanente Northwest HMO. The reminder program of mailings and telephone calls targeted only one group of women, those aged 50 to 69.

"When it was four months before it was due, we started to remind them," Feldstein says. The goal, she says, was to encourage women to have a mammogram at least every 24 months (although some organizations urge annual mammograms).

In the other two groups were women aged 42 to 49, for whom mammograms are also recommended by the U.S. Preventive Services Task Force, one of many organizations setting guidelines, and women aged 70 and above, for whom mammograms are conditionally recommended by the task force.

Beginning in January 2006, women in the 50-69 age group coming due for a routine mammogram in four months got their first reminder, a mailed informational postcard reminding them of the need for the screening and encouraging them to make an appointment.

Women who did not make an appointment received an automated telephone reminder a month later. A month after that, women who still hadn't made an appointment got a second automated call.

Finally, at about 23 to 24 months after their last mammogram, the local health care team followed up with women who still hadn't responded, leaving up to two messages directly to the patient and asking for a callback so an appointment could be secured.

Today on WebMD

Breast Cancer Overview
From self-exams and biopsies to reconstruction, we’ve got you covered.
Dealing with breast cancer
Get answers to your questions.
 
woman having mammogram
Experts don’t agree on all fronts, but you can be your own advocate.
woman undergoing breast cancer test
Many women worry. But the truth? Most abnormalities aren’t breast cancer.
 
Breast Cancer Treatments Improving
VIDEO
Resolved To Quit Smoking
SLIDESHOW
 
Woman getting mammogram
Article
Screening Tests for Women
SLIDESHOW
 
ovarian cancer overview slideshow
SLIDESHOW
serious woman
Article
 
what is your cancer risk
HEALTH CHECK
10 Ways to Revitalize Slideshow
SLIDESHOW