Healthcare question

Should a letter vs. nothing be used for informing women who have a negative screening result?


The ECIBC's Guidelines Development Group (GDG) suggests using a letter for informing women who have a negative screening result.

Recommendation strength ­

  Conditional recommendation for the intervention

  Very low certainty of the evidence

Considerations for implementation and policy making

1. The GDG noted that, as evidence coming from the EU Screening Programmes' survey suggests, some countries do not communicate negative results (positive results are followed up anyway). In these cases it needs to be made clear in the invitation letter that not receiving follow up/letter means a negative result.

2. In case of return to sender letters, new addresses need to be identified.

Research priorities

The GDG recommends conducting randomised controlled trials (cluster ideally) on the effect of this intervention.

Supporting documents