[Proposal of cervical cancer early detection programme in Croatia].
[Proposal of cervical cancer early detection programme in Croatia].
复制标题
[克罗地亚宫颈癌早期检测计划提案]。
作者：
A. Znaor;D. Babić;A. Ćorušić;M. Grce;V. Mahovlić;M. Pajtler;A. Šerman
机会性巴氏涂片筛查在20世纪50年代引入克罗地亚，随之而来的是宫颈癌发病率和死亡率的下降。自20世纪90年代以来，没有观察到进一步的下降，克罗地亚每年仍有大约370例新发宫颈癌病例和100例死亡。在拟议的早期发现方案范围内，应对所有25岁至岁的克罗地亚妇女进行筛查。在该方案的第一阶段，目标人群将每三年进行一次巴氏涂片检查。在第二阶段，也将对30岁以上的女性进行HPV检测。拟议在县一级组织方案，同时在县一级和中央两级进行评价和监测。关于目前宫颈癌患者的治疗和病假费用，据估计，克罗地亚在第一个十年后采用宫颈癌筛查方案将具有成本效益。
Opportunistic screening by Pap smear was introduced in Croatia in 1950s, with a consequent decrease of cervical cancer incidence and mortality. Since 1990s, no further decrease has been observed, and there are still about 370 new cases and 100 deaths of cervical cancer yearly in Croatia. In scope of the proposed early detection programme, all Croatian women aged 25-64 years should be screened. In the first phase of the programme, the target population would be tested by Pap-smear every third year. In the second phase, HPV-testing would also be introduced for women over 30 years. Organization of the programme at county level is proposed, while the evaluation and monitoring would be performed both at county level and centrally. Regarding the present costs of treatment and sick-leave of cervical cancer patients, it is estimated that the introduction of cervical cancer screening programme in Croatia would be cost-effective already after the first decade.