Anttila A, Nieminen P
Finnish Cancer Registry, Liisankatu 21B, FIN 00170, Helsinki, Finland.
Eur J Cancer. 2000 Nov;36(17):2209-14. doi: 10.1016/s0959-8049(00)00311-7.
In Finland, the organised screening programme for the prevention of cervical cancer has been run for over 30 years and has contributed to a 70-80% decrease in the age-adjusted cervical cancer incidence, as well as a reduction in mortality rates. In this article, we describe the operational details of the organised programme - how the target population is defined, how the invitations are done, how smear tests are collected and analysed, how referrals to confirmation and treatment are conducted, and we also provide recent data on the extent and main screening results. The Finnish programme has led to net savings when assessed for its cost-effectiveness. The results encourage the continuation of the screening programme. By introducing modern screening technologies and more systematic quality control activities in the programme, and by expanding the coverage and compliance we expect to further increase the impact of the programme.
在芬兰，有组织的宫颈癌预防筛查项目已开展了30多年，使年龄标准化宫颈癌发病率降低了70%至80%，死亡率也有所下降。在本文中，我们描述了该有组织项目的操作细节——目标人群如何界定、如何发出邀请、涂片检查如何采集和分析、如何进行确诊及治疗转诊，并且我们还提供了有关筛查范围和主要筛查结果的最新数据。对芬兰项目的成本效益进行评估时发现其带来了净节约。这些结果鼓励继续开展筛查项目。通过在该项目中引入现代筛查技术和更系统的质量控制活动，以及扩大覆盖范围和提高依从性，我们期望进一步增强该项目的影响力。
