Impact of GP reminders on follow-up of abnormal cervical cytology: a before–after study in Danish general practice by Bettina Kjær Kristiansen, Berit Andersen,

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Impact of GP reminders on follow-up of abnormal cervical cytology: a before–after study in Danish general practice by Bettina Kjær Kristiansen, Berit Andersen, Flemming Bro, Hans Svanholm, and Peter Vedsted BJGP Volume 67(661):e580-e587 July 27, 2017 ©2017 by British Journal of General Practice

Flow chart of number of cervical cytologies Flow chart of number of cervical cytologies. aWomen without a unique Danish civil registration number. bUnknown diagnosis or potential uncertainty about follow-up recommendations. c Diagnosis formed according to information available from the authors upon r... Flow chart of number of cervical cytologies. aWomen without a unique Danish civil registration number. bUnknown diagnosis or potential uncertainty about follow-up recommendations. c Diagnosis formed according to information available from the authors upon request. Bettina Kjær Kristiansen et al. Br J Gen Pract 2017;67:e580-e587 ©2017 by British Journal of General Practice

Proportion of cervical cytologies without follow-up before and after implementation of reminders, stratified by follow-up recommendation.a aFirst vertical line is the time point for recommended follow-up. Proportion of cervical cytologies without follow-up before and after implementation of reminders, stratified by follow-up recommendation.aaFirst vertical line is the time point for recommended follow-up. Second vertical line is the time point when a reminder was generated for the after group. Follow-up recommendations within 3 months (needing to consult a gynaecologist) had a GP reminder 1 month after recommended date of follow-up (that is, after 4 months), whereas recommendations for follow-up in 3, 6, or 12 months had a GP reminder 3 months after date of recommended follow-up (that is, after 6, 9, or 15 months). Bettina Kjær Kristiansen et al. Br J Gen Pract 2017;67:e580-e587 ©2017 by British Journal of General Practice

GP variations in cervical cytology follow-up proportions. GP variations in cervical cytology follow-up proportions. Proportions of 1692 GP practices before, and 1943 GP practices after, listed according to proportion of women with follow-up. Observation of follow-up adherence ended 6 months after a GP reminder was generated to the after group. This entailed 7 months after recommended date of follow-up for women with a ’recommendation for follow-up within 3 months’, and 9 months for women with a ’recommendation for follow-up in 3, 6, or 12 months’. Bettina Kjær Kristiansen et al. Br J Gen Pract 2017;67:e580-e587 ©2017 by British Journal of General Practice