Impact of implementing a nationwide cervical cancer screening program on female population coverage by Pap-tests in Estonia

Piret Veerus, Marc Arbyn, Camilla Amati, Paolo Baili

Research output: Contribution to journalArticle

Abstract

Background. The objective of the EUROCHIP project in Estonia was to describe the organized cervical cancer screening program started in 2006 (after pilot studies in 2003-2005), to compare its performance with opportunistic screening, and to define priorities for improvement of the program. Methods. Population data was retrieved from Statistics Estonia, data about performed Pap-smear tests within the screening program from the Estonian Cancer Society and from clinics and labs participating in the program, data about Pap-smear tests outside the screening program from the Estonian Health Insurance Fund, and data about cancer incidence and mortality from the Estonian Cancer Registry database. Results. During the first year after implementing the nationwide cervical cancer screening programin Estonia, the number of tests outside the organized program remained high. Within the organized program, the number of Pap-tests in different age groups increased with age except for the oldest age group while population coverage with Pap-tests outside the organized screening program decreased with age. The number of cervical cancer cases at early stages increased after implementation of organized screening. The time-frame does not permit to draw any definitive conclusions. Conclusions. Implementation of organized cervical cancer screening did not decrease the volume of opportunistic screening. The factors influencing attendance in the organized cervical cancer screening program in different age groups should be studied further. Moreover, a central cancer screening registry without restrictive data protection legislation would improve data collection and enable to evaluate performance of the program on a regular basis.

Original languageEnglish
Pages (from-to)524-528
Number of pages5
JournalTumori
Volume96
Issue number4
Publication statusPublished - 2010

Fingerprint

Estonia
Papanicolaou Test
Early Detection of Cancer
Uterine Cervical Neoplasms
Population
Age Groups
Registries
Computer Security
Neoplasms
Health Insurance
Legislation
Databases
Mortality
Incidence

Keywords

  • Cervical cancer
  • Cervical screening program barriers
  • Estonia
  • EUROCHIP

ASJC Scopus subject areas

  • Cancer Research
  • Oncology
  • Medicine(all)

Cite this

Impact of implementing a nationwide cervical cancer screening program on female population coverage by Pap-tests in Estonia. / Veerus, Piret; Arbyn, Marc; Amati, Camilla; Baili, Paolo.

In: Tumori, Vol. 96, No. 4, 2010, p. 524-528.

Research output: Contribution to journalArticle

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