Communicating biopsy results from breast screening assessment: current practice in English breast screening centres and staff perspectives of telephoning results. Issue 11 (7th November 2019)

• Record Type: Journal Article
• Authors: Williamson, Sian Z; Johnson, Rebecca; Sandhu, Harbinder K; Ellard, David R; Jenkins, Jacquie; Casey, Margaret; Kearins, Olive; Taylor-Phillips, Sian
• Is Part Of: BMJ open. Volume 9:Issue 11(2019)
• Publication Date: 2019-11-07
• Subjects: preventive medicine -- health policy -- qualitative research -- quality in health care; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2018-028683
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : Objective: To record how breast screening centres in England deliver all biopsy results (cancer/non-cancer) from the breast assessment visit. Design: Online survey of 63 of 79 breast screening centres in England from all regions (East Midlands, East of England, London, North East Yorkshire & Humber, North West, South East, South West, West Midlands). The survey contained quantitative measures of frequency for telephoning biopsy results (routinely, occasionally or never) and optional qualitative free-text responses. Surveys were completed by a staff member from each centre. Results: There were no regional trends in the use of telephone results services, ( X ² (14, n=63)=11.55, p=0.64), Centres who telephoned results routinely did not deliver results sooner than centres who deliver results in-person ( X ² (16, n=63)=12.76, p=0.69). When delivering cancer results, 76.2% of centres never telephone results and 23.8% of centres occasionally telephone results. No centres reported delivering cancer results routinely by telephone. Qualitative content analysis suggests that cancer results are only telephoned at the patient request and under exceptional circumstances. When delivering non-cancer results, 12.7% of centres never telephoned results, 38.1% occasionally telephoned results and 49.2% routinely telephoned results. Qualitative content analysis revealed different processes for delivering telephone results, including patient choice and scheduling an in-person results appointment for all women attending breast assessment, then ringing non-cancer results unexpectedly ahead of this prebooked appointment. Conclusions: In the National Health Service Breast Screening Programme, breast assessment results that are cancer are routinely delivered in-person. However, non-cancer breast assessment results are often routinely delivered by telephone, despite breast screening policy recommendations. More research is needed to understand the impact of telephoning results on women attending breast assessment, particularly women who receive a non-cancer result. Future research should also consider how women themselves might prefer to receive their results.