Cervical cancer screening policies and coverage in Europe

被引:125
作者
Anttila, Ahti [1 ]
von Karsa, Lawrence [2 ]
Aasmaa, Auni [3 ]
Fender, Muriel [4 ]
Patnick, Julietta [5 ,6 ]
Rebolj, Matejka [7 ]
Nicula, Florian [8 ]
Vass, Laszlo [9 ]
Valerianova, Zdravka [10 ]
Voti, Lydia [11 ]
Sauvaget, Catherine [12 ]
Ronco, Guglielmo [13 ]
机构
[1] Finnish Canc Registry, Mass Screening Registry, FIN-00130 Helsinki, Finland
[2] Int Agcy Res Canc, Screening Qual Control Grp, F-69372 Lyon, France
[3] Estonian Canc Fdn, Tallinn, Estonia
[4] Assoc Eve, Strasbourg, France
[5] NHS Canc Screening Programmes, Sheffield, S Yorkshire, England
[6] Univ Oxford, Canc Epidemiol Unit, Canc Screening Res Unit, Oxford, England
[7] Erasmus MC, Dept Publ Hlth, Rotterdam, Netherlands
[8] Inst Oncol I Chiriuta, Cluj Napoca, Romania
[9] Flor F Univ Hosp, Kistarcsa, Hungary
[10] Bulgarian Canc Registry, Sofia, Bulgaria
[11] Int Agcy Res Canc, Descript Epidemiol Grp, F-69372 Lyon, France
[12] Int Agcy Res Canc, Screening Grp, F-69372 Lyon, France
[13] Ctr Canc Epidemiol & Prevent CPO, Canc Epidemiol Unit, Turin, Italy
关键词
Epidemiology; Cervix uteri; Screening; Evaluation; Policy; Monitoring; TRENDS; COUNTRIES; PROGRAMS; FINLAND; RISK;
D O I
10.1016/j.ejca.2009.07.020
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aim of the study was to compare current policy, Organisation and coverage of cervical cancer screening programmes in the European Union (EU) member states with European and other international recommendations. According to the questionnaire-based survey, there are large variations in cervical cancer screening policies and inadequacies in the key organisational elements of the programme such as registration and monitoring required for quality-assurance and fail-safe mechanisms. Based on data from available screening registers, coverage of the screening test taken within the population-based programme was below 80% in all programmes, ranging from 10% to 79%. The screening capacity is satisfactory in most EU member states, however, and there is even over-capacity in several countries. There are also countries which do not have an acceptable capacity yet. Control of proper capacity along with education, training and communication among women, medical professionals and authorities are required, accordingly The study indicates that, despite substantial efforts, the recommendations of the Council of the EU on organised population-based screening for cervical cancer are not yet fulfilled. Decision-makers and health service providers should consider stronger measures or incentives in order to improve cervical cancer control in Europe. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:2649 / 2658
页数:10
相关论文
共 45 条
  • [1] Pregnancy outcome in women before and after cervical conisation: population based cohort study
    Albrechtsen, Susanne
    Rasmussen, Svein
    Thoresen, Steinar
    Irgens, Lorentz M.
    Iversen, Ole Erik
    [J]. BRITISH MEDICAL JOURNAL, 2008, 337 (7673): : 803 - 805
  • [2] [Anonymous], 1986, IARC Sci Publ, P1
  • [3] [Anonymous], 2005, IARC handbooks of cancer prevention, V10
  • [4] [Anonymous], EUROPEAN GUIDELINES
  • [5] [Anonymous], 2003, Off J Eur Union, V327, zetaepsiloniota, P34
  • [6] Cervical cancer screening programmes and policies in 18 European countries
    Anttila, A
    Ronco, G
    Clifford, G
    Bray, F
    Hakama, M
    Arbyn, M
    Weiderpass, E
    [J]. BRITISH JOURNAL OF CANCER, 2004, 91 (05) : 935 - 941
  • [7] Anttila A, 2007, COLLEGIUM ANTROPOL, V31, P17
  • [8] ARBYN M, 2004, IPH EPI REPORTS, V21, P1
  • [9] Arbyn M., 2008, European guidelines for quality assurance in cervical cancer screening, Second Edition"
  • [10] The challenges of organising cervical screening programmes in the 15 old member states of the European Union
    Arbyn, Marc
    Rebolj, Matejka
    De Kok, Inge M. C. M.
    Fender, Murielle
    Becker, Nikolaus
    O'Reilly, Marian
    Andrae, Bengt
    [J]. EUROPEAN JOURNAL OF CANCER, 2009, 45 (15) : 2671 - 2678