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Should population program of Pap smear screening tests for cervical cancer be continued in Poland?
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Abstract
Population screening programs should be efficient and cost-effective. Cervical cancer screening program was implemented in Poland in 2006 and so far it did not achieve the main goal of the screening, which is to reduce the mortality rate of cervical cancer in the entire female population.
The main reason of this are: poor organization that causes low quality of the program at every stage of its activity, low participation of women in screening and lack of reliable program monitoring.
The organization of screening program in Poland significantly deviates from the international recommendations what led to lack of cost-effectiveness of the program. It is time to make a bold decision and end the program until a modern strategy is developed that would account for the latest global recommendations including e.g. vaccinations against HPV virus and HPV test as a screening test.
Abstract
Population screening programs should be efficient and cost-effective. Cervical cancer screening program was implemented in Poland in 2006 and so far it did not achieve the main goal of the screening, which is to reduce the mortality rate of cervical cancer in the entire female population.
The main reason of this are: poor organization that causes low quality of the program at every stage of its activity, low participation of women in screening and lack of reliable program monitoring.
The organization of screening program in Poland significantly deviates from the international recommendations what led to lack of cost-effectiveness of the program. It is time to make a bold decision and end the program until a modern strategy is developed that would account for the latest global recommendations including e.g. vaccinations against HPV virus and HPV test as a screening test.
Keywords
screening, cervical cancer, incidence, mortality
About this articleTitle
Should population program of Pap smear screening tests for cervical cancer be continued in Poland?
Journal
Nowotwory. Journal of Oncology
Issue
Article type
Other materials agreed with the Editors
Pages
101-107
Published online
2018-08-08
Page views
1070
Article views/downloads
830
DOI
Bibliographic record
Nowotwory. Journal of Oncology 2018;68(2):101-107.
Keywords
screening
cervical cancer
incidence
mortality
Authors
Urszula Wojciechowska