Zappa Marco, Dardanoni Gabriella, Giorgi Rossi Paolo, Grazzini Grazia, Naldoni Carlo, Paci Eugenio, Pirola Maria Elena, Pizzuti Renato, Segnan Nereo, Zorzi Manuel, Federici Antonio
National centre for screening monitoring.
Epidemiol Prev. 2012 Nov-Dec;36(6 Suppl 1):3-7.
The national meeting of the National Centre for Screening Monitoring (ONS) was given the title "The screening during the crisis" as we realize that the severe economical crisis of our country influences all the health policies and, as a consequence, screening programs. Within this global scenario, the results of 2010 concerning screening programs can be considered as still positive even if the gap between the North and the Central Regions as compared to the South remains. In short, in 2010 almost 9.5 millions people were invited to undergo a screening examination (3,450,000; 2,496,000 and 3,464,000 for cervical, mammographic and colorectal cancer respectively). As compared to the previous year, a large increase was observed for colorectal screening.Whereas a slight decrease was observed both for cervical and for mammographic screening. The latter trend was partially due to the overload consequent to the extension of the programme to women younger than fifty in a couple of regions (Emilia-Romagna and Piemonte). More than 4.3 millions of subjects actually complied to the invitation (1,375,000; 1,382,000 and 1,582,000 for cervical, mammographic and colorectal cancer, respectively). As a consequence of these activities were identified 6,015 breast cancers (31% of annual occurring breast cancers in Italy in the age group 50-69 years according to the most update estimates of breast cancer occurrence), 4,597 CIN2 or more severe cervical lesions, 2,916 colorectal cancers (15% of annual occurring CRC cancer in Italy in the age group 50-69 years) and 15,049 advanced adenomas.
国家筛查监测中心(ONS)的全国会议主题为“危机期间的筛查”,因为我们意识到本国的严重经济危机影响了所有卫生政策,进而也影响了筛查项目。在这一全球背景下,2010年筛查项目的结果即便南北和中部地区与南部地区仍存在差距,但仍可视为积极的。简而言之,2010年约950万人被邀请接受筛查检查(宫颈癌、乳房X光检查和结直肠癌筛查分别为345万、249.6万和346.4万)。与上一年相比,结直肠癌筛查人数大幅增加,而宫颈癌和乳房X光检查筛查人数略有下降。后一种趋势部分是由于在几个地区(艾米利亚 - 罗马涅和皮埃蒙特)将该项目扩展到50岁以下女性导致的负担过重。超过430万受试者实际接受了邀请(宫颈癌、乳房X光检查和结直肠癌筛查分别为137.5万、138.2万和158.2万)。这些筛查活动发现了6015例乳腺癌(根据最新的乳腺癌发病率估计,占意大利50 - 69岁年龄组年度乳腺癌发病数的31%)、4597例CIN2或更严重的宫颈病变、2916例结直肠癌(占意大利50 - 69岁年龄组年度结直肠癌发病数的15%)以及15049例高级腺瘤。