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  • Poster presentation
  • Open Access

PB.42. Influences upon presentation to the symptomatic breast clinic: is there an increase in symptomatic referrals due to the physical presence of the breast screening van within an area?

  • 1 and
  • 2
Breast Cancer Research201416 (Suppl 1) :P9

  • Published:


  • Breast Cancer
  • Breast Lesion
  • Breast Clinic
  • Consequent Reduction
  • Referral Pattern


Current published literature on health-seeking behaviour in women with a self-detected breast lesion mainly explores the reasons surrounding why a delayed presentation may occur. However, there is no current literature on whether the presence of the National Breast Screening van has any influence on symptomatic referrals. Therefore, the authors propose there will be an increase in symptomatic referrals within the cohort of patients who share a postcode with the breast screening van location.


The National Breast Screening van was parked in the TQ4 postcode between 30 November 2012 and 30 June 2013. All new GP symptomatic breast referrals between the above dates and those during the same timeframe of the previous year were recorded by age and postcode. The referral patterns, ages and number of new symptomatic breast cancer diagnoses between were compared between the study timeframes.


There was a 12% increase in overall referrals during the study timeframes in 2011/12 to 2012/13. There were no significant differences in referral patterns by postcode. However, there was a statistically significant increase in referrals in younger patients with a consequent reduction in those of screening age (P < 0.001), when compared with a separate postcode. No difference in new symptomatic breast cancer diagnoses was seen during the two timeframes.


Whilst the presence of the screening van did not influence overall referrals, there was a shift in age distribution with a statistically significant increase in younger, prescreening women and a consequent decrease in older, screening-age women. The screening van did not influence the number of new symptomatic breast cancers.

Authors’ Affiliations

Peninsula Radiology Academy, Plymouth, UK
South Devon Healthcare NHS Foundation Trust, Torquay, UK


© Wotton and Green; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.