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To compensate for the missing screening program we advised our study women to regularly palpate their breasts through the Mama breast self-examination program [ 31].
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They visited Barnsdall Park for outdoor movies, and at night they slept in an upstairs bedroom with open windows and missing screens.
One patient missed screening appointments because she disliked the proximity of the screener.
It is unclear why there was a smaller proportion of patients with acute renal failure in those who missed screening.
We chose to combine missed screening and abnormal findings that were lost to follow up (i.e. missed), as both may lead to the same detrimental outcome.
Because screening has been shown to reduce colorectal cancer morbidity and mortality [ 19– 23], missed screening opportunities may lead to poorer colorectal cancer outcomes.
Potential explanations for this are, among others, distance from care facilities, loss of autonomy and the fact that the elderly tend to miss screening measures.
This apparent discrepancy may be explained by a lack of definition of what a screening programme entails and/or the possibility that the 2009 review has missed screening programmes of PWID.
Other postal screening studies that offered kits, either exclusively or partly through pharmacies, have relied on the numbers of kits distributed and returned as performance indicators [ 24, 25] and did not assess the extent of missed screening opportunities.
This could be due to insufficient completion of the screening log, or because some of these children were transferred from other hospital departments to MNU, and therefore missed screening.
The VA is an excellent venue for studying the prevalence of missed screening opportunities, as it is an integrated healthcare system characterized by a relatively stable patient population and a high rate of CRC screening.
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