Bigaard J, Hariri J, Lynge E
Danish Cancer Society, Strandboulevarden 49, DK-2100, Copenhagen, Denmark.
Eur J Cancer. 2000 Nov;36(17):2198-204. doi: 10.1016/s0959-8049(00)00309-9.
Denmark is divided into 15 counties and it is up to regional politicians and the health authority in each county to organise the cervical screening programmes. The National Board of Health issued national guidelines and recommendations for the cervical cancer screening back in 1986, and these guidelines are now, in 1998, almost fully implemented. In this study, a literature review on cervical cancer screening in Denmark, review of local guidelines, personal interviews with pathologists and collection of information about the education of cytotechnologists in Denmark was carried out. In Denmark in 1997 90% of women aged 23-59 years and 46% of women aged 60-74 years were covered by organised screening. A total of 650000 smears were taken annually. This figure corresponds to screening of all Danish women aged 25-59 years on average, every second year. The national recommendation is screening every third year. Thus, as the incidence of cervical cancer in Denmark is decreasing, we could probably move towards a longer screening interval. However, before the Danish recommendations are changed, more detailed data on the actual performances of screening programmes are warranted.
丹麦分为15个郡，各郡的地区政治家和卫生当局负责组织宫颈癌筛查项目。国家卫生局早在1986年就发布了宫颈癌筛查的国家指南和建议，这些指南在1998年几乎已全面实施。在本研究中，对丹麦宫颈癌筛查进行了文献综述，审查了当地指南，与病理学家进行了个人访谈，并收集了丹麦细胞技术人员教育方面的信息。1997年，丹麦23 - 59岁的女性中有90%、60 - 74岁的女性中有46%接受了有组织的筛查。每年共采集65万份涂片样本。这个数字相当于平均每隔一年对所有25 - 59岁的丹麦女性进行一次筛查。国家建议是每三年筛查一次。因此，由于丹麦宫颈癌的发病率在下降，我们或许可以延长筛查间隔。然而，在改变丹麦的建议之前，有必要获取关于筛查项目实际效果的更详细数据。
