Riotton G
Bull Cancer. 1979;66(4):404-6.
In many regions, screening for cervical cancer activities by means of cytology have developed "on faith", without fulfilling sufficient quality criteria (identification--smear taking--staining--reading--nomenclature of ciagnosis--communication with the practitioner). Progress made in cytological diagnosis and better knowledge epidemiological data make, at present, such a situation inacceptable from the point of view of public health expenses, as well as for the population of women concerned. Thorough evaluation of this problem shows that inadequate programmes could be more harmful than useful. It is then indispensable to evaluate the needs, then to create technical structures of good quality, before starting any mass screening campaign.
在许多地区，通过细胞学方法进行的宫颈癌筛查活动是在缺乏足够质量标准（识别——涂片采集——染色——阅片——诊断命名——与从业者沟通）的情况下盲目开展的。细胞学诊断取得的进展以及对流行病学数据更深入的了解，使得目前这种情况无论从公共卫生费用的角度来看，还是对相关女性群体而言，都是不可接受的。对这一问题的全面评估表明，不完善的筛查计划可能弊大于利。因此，在开展任何大规模筛查活动之前，必须先评估需求，然后建立高质量的技术架构。
