Statistics Consultant to NHS Cancer Screening Programmes, Sheffield, UK.
J Med Screen. 2012 Jun;19(2):89-93. doi: 10.1258/jms.2012.012028. Epub 2012 May 31.
In August 2008 the British reality TV star Jade Goody made public her diagnosis of cervical cancer. In February 2009 it was announced that she was terminally ill and she died a few weeks later. A surge in cervical screening attendances associated with these events was widely reported. This paper aims to quantify the size of that effect across England, its duration, and whether it affected some groups of women more than others.
The Cervical Screening Programme in England.
Routinely collected statistics for the months around Jade Goody's diagnosis and death were compared with those for other periods.
About half a million extra cervical screening attendances occurred in England between mid-2008 and mid-2009, the period during which Jade Goody was diagnosed and died; among these were 370 attendances where the test result was suspected neoplasia. At its peak in March 2009, attendance was 70% higher than expected. Increases were seen in both initial and follow-up screening attendances and in colposcopy attendances, and at all ages, though the magnitude was greater for women aged under 50. A substantially greater proportion of the extra attendances of women aged 25-49 on routine recall occurred in women whose attendance was overdue (28% occurred at 60 months or more) and relatively little represented over-screening (8% had been screened within the last 30 months).
The pattern of increased attendance mirrored the pattern of media coverage of Jade Goody's diagnosis and death. It is likely that the increased screening resulted in a number of lives saved.
2008 年 8 月，英国真人秀明星杰德·古迪公开了自己宫颈癌的诊断结果。2009 年 2 月，宣布她已病入膏肓，几周后去世。与这些事件相关的大量宫颈癌筛查就诊人数的增加被广泛报道。本文旨在量化这种影响在英格兰的规模、持续时间，以及它是否对某些女性群体的影响大于其他群体。
英格兰的宫颈癌筛查计划。
将杰德·古迪诊断和死亡前后几个月的常规收集统计数据与其他时期进行了比较。
在 2008 年中期至 2009 年中期，即杰德·古迪被诊断和去世期间，英格兰有大约 50 万额外的宫颈癌筛查就诊人数；其中有 370 人就诊的检测结果疑似为肿瘤。2009 年 3 月达到高峰时，就诊人数比预期高出 70%。在初始和随访筛查就诊人数以及阴道镜检查就诊人数都有所增加，而且所有年龄段都有所增加，尽管 50 岁以下的女性增幅更大。在常规召回中，25-49 岁女性的额外就诊人数中，有相当大一部分是因为就诊逾期（28%的就诊时间超过 60 个月），相对而言，过度筛查的比例较小（8%的人在过去 30 个月内接受过筛查）。
就诊人数的增加模式与媒体对杰德·古迪诊断和死亡的报道模式相吻合。增加的筛查很可能挽救了一些生命。
