Screening for Cancer of the Cervix: Implications for Public Health Policy

Screening for Cancer of the Cervix: Implications for Public Health Policy
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宫颈癌筛查:对公共卫生政策的影响

DOI:
10.2307/3342017
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发表时间:
1985
影响因子:
3.8
通讯作者:
A. Miller
A. Miller
中科院分区:
医学4区
文献类型:
--
作者:
A. Miller

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N 为了制定适当的公共卫生政策; CW 关于宫颈癌筛查,有必要 > T g 考虑有关原位癌和其他临床浸润癌前兆的自然史 I 1 5 的可用信息,以及筛查结果,speciKsccA;将发病率和死亡率趋势与不同地区的筛查强度或地区之间的比较联系起来。这些观察性研究存在困难,但鉴于缺乏任何宫颈癌筛查的对照临床试验,它们是唯一能够使我们评估筛查有效性的研究。然后有必要考虑适当的筛查频率方法,以最有效地利用资源来实现最大影响。
N order to develop appropriate public health policies r; cw on screening for cancer of the cervix it is necessary to > T g consider the information available on the natural history I 1 5 of carcinoma in situ and other precursors of clinical invasive cancer, and on the outcome of screening, speciKsccA; fically relating incidence and mortality trends to intensity of screening in different areas or to comparisons between areas. These observational studies have difficulties but are the only ones available that enable us to assess the effectiveness of screening in view of the absence of any controlled clinical trials of screening for cancer of the cervix. It is then necessary to consider the appropriate approaches to screening frequency to achieve maximal impact with most efficient use of resources.