Nicula Florian Al, Anttila Ahti, Neamtiu Luciana, Zakelj Maja Primic, Tachezy Ruth, Chil Arkadiusz, Grce Magdalena, Kesić Vesna
Epidemiology and Biostatistics, Oncological Institute I. Chiricuta, Cluj-Napoca, Romania.
Eur J Cancer. 2009 Oct;45(15):2679-84. doi: 10.1016/j.ejca.2009.07.025. Epub 2009 Aug 19.
Following the 2003 Recommendation of the Council of the European Union on cancer screening, equal access to organised cervical cancer screening is supposed to be ensured for all women at risk in all member states. However, the first IARC report on the implementation of the Council Recommendation suggests that a remarkable proportion of women in the new member states are not yet covered with the free Pap tests offered either in organised or opportunistic manners. Cervical cancer incidence and mortality rates in most of these countries are among the highest in Europe. The purpose of this paper is to identify some common challenges and make further proposals in organising and implementing quality-assured cervical cancer screening programmes in these countries. Based on the responses to a corresponding questionnaire, a summary on cervical cancer prevention policies was established for the seven new European Union member states, Czech Republic, Latvia, Lithuania, Poland, Romania, Slovakia and Slovenia, and two candidate states, Croatia and Serbia. In most of these countries there are a lot of challenges to overcome before achieving the level of preventive services as seen in Finland and the Netherlands nowadays.
根据2003年欧盟理事会关于癌症筛查的建议，应确保所有成员国中所有有风险的女性都能平等获得有组织的宫颈癌筛查服务。然而，国际癌症研究机构（IARC）关于该理事会建议实施情况的首份报告表明，新成员国中相当大比例的女性尚未接受以有组织或机会性方式提供的免费巴氏试验。这些国家中大多数国家的宫颈癌发病率和死亡率在欧洲位居前列。本文的目的是找出一些共同挑战，并就这些国家组织和实施有质量保证的宫颈癌筛查计划提出进一步建议。基于对相应调查问卷的回复，为七个欧盟新成员国（捷克共和国、拉脱维亚、立陶宛、波兰、罗马尼亚、斯洛伐克和斯洛文尼亚）以及两个候选国（克罗地亚和塞尔维亚）制定了一份宫颈癌预防政策摘要。在这些国家中的大多数，在达到芬兰和荷兰目前的预防服务水平之前，还有许多挑战需要克服。
