{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T10:48:23Z","timestamp":1784717303799,"version":"3.55.0"},"reference-count":31,"publisher":"Royal College of General Practitioners","issue":"661","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Gen Pract"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Dysplasia may progress because of a loss to follow-up after an abnormal cervical cytology. Approximately 18% of Danish women postpone the recommended follow-up, which depends on the cytology results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate if a reminder to the GP about missed follow-up could reduce the proportion of women who fail to act on a recommended follow-up, and to analyse the effect on sociodemographic and general practice variations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and setting<\/jats:title><jats:p>A national electronic GP reminder system was launched in Denmark in 2012 to target missed follow-up after screening, opportunistic testing, or surveillance indication. The authors compared follow-up proportions in a national observational before\u2013after study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>From national registries, 1.5 million cervical cytologies (from 2009 to 2013) were eligible for inclusion. Approximately 10% had a recommendation for follow-up. The proportion of cervical cytologies without follow-up was calculated at different time points. Results were stratified by follow-up recommendations and sociodemographic characteristics, and changes in practice variation for follow-up were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fewer women with a recommendation for follow-up missed follow-up 6 months after a GP reminder. Follow-up improved in all investigated sociodemographic groups (age, ethnicity, education, and cohabitation status). Interaction was found for age and cohabitation status. Variation between practices in loss to follow-up was significantly reduced.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>An electronic GP reminder system showed potential to improve the quality of cervical cancer screening through reduced loss to follow-up.<\/jats:p><\/jats:sec>","DOI":"10.3399\/bjgp17x691913","type":"journal-article","created":{"date-parts":[[2017,7,18]],"date-time":"2017-07-18T01:05:22Z","timestamp":1500339922000},"page":"e580-e587","source":"Crossref","is-referenced-by-count":14,"title":["Impact of GP reminders on follow-up of abnormal cervical cytology: a before\u2013after study in Danish general practice"],"prefix":"10.3399","volume":"67","author":[{"given":"Bettina Kj\u00e6r","family":"Kristiansen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berit","family":"Andersen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flemming","family":"Bro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Svanholm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Vedsted","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1987","published-online":{"date-parts":[[2017,7,17]]},"reference":[{"key":"2020081209303728000_67.661.e580.1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/dji115"},{"key":"2020081209303728000_67.661.e580.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2007.06.007"},{"key":"2020081209303728000_67.661.e580.3","doi-asserted-by":"publisher","DOI":"10.1177\/1077558703254698"},{"key":"2020081209303728000_67.661.e580.4","unstructured":"Steering Committee for the Danish Cervical Cancer Screening Programme. 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