Characteristics and impact of interventions to support healthcare providers’ compliance with guideline recommendations for breast cancer: a systematic literature review

Search results

The eligibility process is summarized in a PRISMA flowchart (Fig. 1). We retrieved a total of 9065 unique citations from database searches, which were reviewed (through screening by title and abstract) along with 416 additional references identified from the thirteen systematic reviews also identified. We selected 145 references for full text revision, from which 35 primary studies (reporting on 24 different interventions) were finally included in our systematic review [36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70].

Fig. 1figure 1Characteristics of the included studies

The characteristics of the included studies are summarized in Table 1 and described in detail in Additional file 4. Most (86%) were published from 2000 onwards. The studies were conducted in six countries: 15 (42%) were conducted in USA [37, 44,45,46, 49,50,51, 53,54,55,56,57,58, 60, 70], 12 (34%) in France [38,39,40,41,42,43, 63,64,65,66,67,68], 3 (9%) in the Netherlands [52, 62, 69], and 3 (9%) in Canada [36, 59, 61]. The remaining two studies were conducted in Australia [47], and Italy [48]. Eleven studies described interventions to support compliance with guidelines on diagnosis and treatment [41, 43, 52, 56, 64,65,66,67,68,69,70], 9 focused on treatment only [38,39,40, 42, 47,48,49, 62, 63], 5 on diagnosis only [45, 51, 58,59,60], and 7 on screening [36, 37, 46, 50, 54, 57, 61]. Six studies were randomized controlled trials [37, 45, 50, 51, 54, 60], four were non-randomized controlled trials [46, 57, 58, 63], eight non-controlled before-after studies [42, 49, 53, 55, 59, 62, 65, 69], one prospective cohort study , three cross-sectional studies [44, 47, 56], one mixed-methods [36] and twelve case studies [38,39,40,41, 43, 48, 52, 61, 64, 66,67,68].

Table 1 Characteristics of the included studies (N=35)

Thirty of the 35 studies (85%) evaluated the impact of the interventions on compliance rate [

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