Knapp Piotr, Zbroch Tomasz, Knapp Paweł, Kobylec Michał, Błońska Ewa
Klinika Ginekologii, Akademii Medycznej w Białymstoku.
Przegl Lek. 2004;61(12):1400-4.
High mortality rates caused by breast cancer and cervical cancer are still an actual and enormous problem in our country. Such unfavorable epidemiological situation lasts for many years, in spite of availability of diagnostic procedures, which permits secondary prevention of these diseases. Successes of mass screening programs conducted in several European Countries are the best proof for this statement. For the last years the number of mammography and cytology tests systematically have been been going up in our country, unfortunately without any effects on women's mortality rates. The question arises: what is the reason for that situation and if could it be useful to adopt European experiences into the Polish conditions? This could be done by appropriate staff training and increase of effectiveness of diagnostic and therapeutic procedures. One more core element of mass screening programs is logistic background--coordinating center ensuring good functioning of the screening program.
乳腺癌和宫颈癌导致的高死亡率在我国仍然是一个现实且严重的问题。尽管有诊断程序可用于这些疾病的二级预防,但这种不利的流行病学状况已持续多年。几个欧洲国家开展的大规模筛查项目取得的成功就是这一说法的最佳证明。在过去几年里,我国乳腺钼靶检查和细胞学检查的数量一直在系统性上升,遗憾的是,这对女性死亡率并未产生任何影响。问题来了:造成这种情况的原因是什么,将欧洲的经验应用于波兰的情况是否会有用?这可以通过适当的人员培训以及提高诊断和治疗程序的有效性来实现。大规模筛查项目的另一个核心要素是后勤保障——协调中心要确保筛查项目良好运作。