Cancer Prevention & Control, Provider-Oriented Screening Interventions: Provider Assessment & Feedback
Provider assessment and feedback interventions both evaluate provider performance in delivering or offering screening to clients (assessment) and present providers with information about their performance in providing screening services (feedback). Feedback may describe the performance of a group of providers (e.g., mean performance for a practice) or an individual provider, and may be compared with a goal or standard.
Summary of Task Force Recommendations & Findings
The Community Preventive Services Task Force recommends provider assessment and feedback interventions on the basis of sufficient evidence of effectiveness in increasing screening for breast cancer (mammography), cervical cancer (Pap test), and colorectal cancer (FOBT).
Evidence was insufficient, however, to determine the effectiveness of this intervention in increasing colorectal cancer screening using methods other than FOBT.
Task Force Finding & Rationale Statement
Results from the Systematic Reviews
The Task Force findings are based on evidence from a previously completed review (search period 1966-2004) and an updated review (search period 2004-2008). Updates of reviews are conducted to incorporate more recent evidence.
Read a summary of findings from the previous review or visit the Cancer Prevention and Control section of our publications page to access the complete articles.
This review included nine studies.
- Screening for breast, cervical or colorectal cancer: median increase of 13.0 percentage points (interquartile interval [IQI]: 11.5 to 30.5 percentage points).
- Completed breast cancer screening by mammography: estimated effects ranged from a 3.4 to 20.6 percentage point increase (4 study arms)
- Completed cervical screening by Pap test: estimated effects ranged from a 4.0 to 29.5 percentage point increase (4 study arms)
- Completed colorectal screening by FOBT: estimated effects ranged from a 12.3 to 23.0 percentage point increase (3 study arms)
The recommendation to increase screening for breast and cervical cancer as well as colorectal cancer (through FOBT) should be applicable across various settings and provider training status may be related to magnitude of effect.
These findings were based on a systematic review of all available studies, conducted on behalf of the Task Force by a team of specialists in systematic review methods, and in research, practice and policy related to cancer prevention and control.
Publications
More Community Guide publications about Cancer Prevention and Control
Disclaimer
The findings and conclusions on this page are those of the Community Preventive Services Task Force and do not necessarily represent those of CDC.
Sample Citation
The content of publications of the Guide to Community Preventive Services is in the public domain. Citation as to source, however, is appreciated. Sample citation: Guide to Community Preventive Services. Cancer prevention & control, provider-oriented screening interventions: assessment & feedback. www.thecommunityguide.org/cancer/screening/provider-oriented/assessment.html. Last updated: MM/DD/YYYY.
Review completed: October 2009
- Page last reviewed: January 7, 2012
- Page last updated: January 7, 2012
- Content source: The Guide to Community Preventive Services
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