Lăără E, Day N E, Hakama M
Lancet. 1987 May 30;1(8544):1247-9. doi: 10.1016/s0140-6736(87)92695-x.
Time trends in mortality from cervical cancer in Denmark, Finland, Iceland, Norway, and Sweden since the early 1950s were investigated in relation to the extent and intensity of organised screening programmes in these countries. In all five countries the cumulative mortality rates (0-74 years) fell between 1965 and 1982. In Iceland, where the nationwide programme has the widest target age range, the fall in mortality was greatest (80%). Finland and Sweden have nationwide programmes also; the mortality fell by 50% and 34%, respectively. In Denmark, where about 40% of the population are covered by organised programmes, the overall mortality fell by 25%, but in Norway, with only 5% of the population covered by organised screening, the mortality fell by only 10%. The results support the conclusion that organised screening programmes have had a major impact on the reduction in mortality from cervical cancer in the Nordic countries.
自20世纪50年代初以来，对丹麦、芬兰、冰岛、挪威和瑞典宫颈癌死亡率的时间趋势进行了调查，调查内容与这些国家有组织的筛查计划的范围和强度有关。在所有五个国家中，1965年至1982年间累积死亡率（0至74岁）均有所下降。在冰岛，全国性计划的目标年龄范围最广，死亡率下降幅度最大（80%）。芬兰和瑞典也有全国性计划；死亡率分别下降了50%和34%。在丹麦，约40%的人口参加了有组织的计划，总体死亡率下降了25%，但在挪威，只有5%的人口参加了有组织的筛查，死亡率仅下降了10%。结果支持这样的结论，即有组织的筛查计划对北欧国家宫颈癌死亡率的降低产生了重大影响。
