Breitenecker G, Wiener H, Stani J
Department of Gynecopathology, University of Vienna, Waehringer Guertel 18-20, 6Q, A-1090, Vienna, Austria.
Eur J Cancer. 2000 Nov;36(17):2189-90. doi: 10.1016/s0959-8049(00)00322-1.
Austria's target population of women aged 20 years and over consists of 3 million people. There is mainly opportunistic screening, except in one county with a target population of 120000, in which organised screening has been practiced for several years. There are approximately 1.5 million smears annually, exclusively taken by gynaecologists. The recommended screening interval is 1 year. The slides are screened by MTs with a maximum workload of 12000 smears annually in 65 laboratories, mainly headed by pathologists. As shown by Vutuc and colleagues (Wien Klin Wochenschr 1999, 111, 354-359) the opportunistic screening system covers 60% of the Austrian target population leaving an unsatisfactorily high rate of underserved, mainly postmenopausal, women. Nevertheless, the cervical cancer mortality rate could have been decreased to one third during the past 40 years.
奥地利20岁及以上女性的目标人群有300万人。除了一个目标人群为12万的县开展了数年的组织性筛查外，主要是机会性筛查。每年约有150万份涂片，均由妇科医生采集。推荐的筛查间隔为1年。涂片由医学检验技术员筛查，65个实验室的医学检验技术员年最大工作量为12000份涂片，这些实验室主要由病理学家主管。如武图克及其同事所示（《维也纳临床周报》，1999年，第111期，354 - 359页），机会性筛查系统覆盖了60%的奥地利目标人群，导致未得到充分服务的女性比例高得令人不满意，这些女性主要是绝经后女性。尽管如此，在过去40年里宫颈癌死亡率已降至三分之一。
