Kolozsvári L R, Langmár Z, Rurik I
Department of Family and Occupational Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary.
Eur J Gynaecol Oncol. 2013;34(5):419-24.
Breast and cervical cancers are both common malignancies in Hungarian women. The aim of this study was to evaluate the impact of nationwide screening programs on the incidence and mortality of breast and cervical cancers and to assess the role of primary care providers in this context.
Published records from 2000-2011 on breast and cervical cancer screening activities in Hungary were reviewed. Previously unpublished data from the Hungarian National Cancer Registry were also included in this review. Hungarian outcomes were compared to international results.
A nationwide screening program for breast cancer was established in Hungary in 2001. A similar program for cervical cancer was subsequently initiated in 2003. As of 2009, 50% of the population at risk took advantage of breast cancer screening, while the exact participation rate for cervical cancer screening could not be established due to deficiencies of reporting by private gynecologists. The Health Visitors Cervical Screening Program, a new initiative within the context of the nationwide cervical screening program, based on involvement of local primary care providers, had encouraging results which substantially raised participation rates. However, deficiencies were identified regarding flow of information between service providers, patients, and family physicians. There was a slight reduction in the incidence of breast cancer and a more pronounced reduction in the incidence of cervical cancer, as well as a reduction in mortality for both breast and cervical cancers associated with these screening initiatives.
The inclusion of primary care providers may benefit nationwide screening programs by raising participation rates in the target population.
乳腺癌和宫颈癌都是匈牙利女性常见的恶性肿瘤。本研究的目的是评估全国性筛查项目对乳腺癌和宫颈癌发病率及死亡率的影响，并评估初级保健提供者在此背景下的作用。
回顾了2000年至2011年匈牙利乳腺癌和宫颈癌筛查活动的已发表记录。匈牙利国家癌症登记处以前未发表的数据也纳入了本次综述。将匈牙利的结果与国际结果进行了比较。
匈牙利于2001年建立了全国性乳腺癌筛查项目。随后在2003年启动了类似的宫颈癌筛查项目。截至2009年，50%的高危人群参加了乳腺癌筛查，而由于私立妇科医生报告不足，无法确定宫颈癌筛查的确切参与率。健康访视员宫颈癌筛查项目是全国性宫颈癌筛查项目中的一项新举措，基于当地初级保健提供者的参与，取得了令人鼓舞的结果，大幅提高了参与率。然而，在服务提供者、患者和家庭医生之间发现了信息流通方面的不足。乳腺癌发病率略有下降，宫颈癌发病率下降更为明显，与这些筛查举措相关的乳腺癌和宫颈癌死亡率也有所下降。
纳入初级保健提供者可能通过提高目标人群的参与率而使全国性筛查项目受益。
