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Attendance rate in the Polish Cervical Cancer Screening Program in the years 2007-2009.

Abstract In Poland in 2007, according to the National Cancer Registry 3431 women were diagnosed with cervical cancer and 1907 died. To change the unfavorable epidemiologic situation, in 2005 the Ministry of Health (MH), the National Health Fund (NHF) and the Polish Gynecological Society following WHO/IARC guidelines developed a National Population-Based Cervical Cancer Screening Program. Its implementation and roll-out started in 2006. The target population are women aged 25 to 59 insured in the National Health Fund. A Pap test is done with a three-year interval, free of charge. The system is based on personal invitations sent by regular post. Invitation to screening is supported by a social educational campaign "Choose Life" run under one slogan and logo across the whole country The NHF data base enables identification of women to screen. Pap smears are collected by gynecologists and since 2008 also by midwives trained and certified by the Program National Coordinating Center Pap test results are reported in the Bethesda 2001 system. The Screening Program has its system of quality assurance and control and is supported by a specially designed computer data base called SIMP (System of Information Monitoring in Prophylaxis) with online access to all records. In addition to organized, population-based screening there is also opportunistic screening in Poland practiced either by private gynecological practices or by some units that cooperate with the National Health Fund, but do Pap tests as an element of comprehensive gynecological examination. Those smears are not registered in the SIMP.
PMID
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Authors

Mayor MeshTerms

Health Knowledge, Attitudes, Practice

Papanicolaou Test

Keywords
Journal Title ginekologia polska
Publication Year Start




PMID- 20973201
OWN - NLM
STAT- MEDLINE
DA  - 20101025
DCOM- 20101105
LR  - 20151119
IS  - 0017-0011 (Print)
IS  - 0017-0011 (Linking)
VI  - 81
IP  - 9
DP  - 2010 Sep
TI  - [Attendance rate in the Polish Cervical Cancer Screening Program in the years
      2007-2009].
PG  - 655-63
AB  - BACKGROUND: In Poland in 2007, according to the National Cancer Registry 3431
      women were diagnosed with cervical cancer and 1907 died. To change the
      unfavorable epidemiologic situation, in 2005 the Ministry of Health (MH), the
      National Health Fund (NHF) and the Polish Gynecological Society following
      WHO/IARC guidelines developed a National Population-Based Cervical Cancer
      Screening Program. Its implementation and roll-out started in 2006. The target
      population are women aged 25 to 59 insured in the National Health Fund. A Pap
      test is done with a three-year interval, free of charge. The system is based on
      personal invitations sent by regular post. Invitation to screening is supported
      by a social educational campaign "Choose Life" run under one slogan and logo
      across the whole country The NHF data base enables identification of women to
      screen. Pap smears are collected by gynecologists and since 2008 also by midwives
      trained and certified by the Program National Coordinating Center Pap test
      results are reported in the Bethesda 2001 system. The Screening Program has its
      system of quality assurance and control and is supported by a specially designed 
      computer data base called SIMP (System of Information Monitoring in Prophylaxis) 
      with online access to all records. In addition to organized, population-based
      screening there is also opportunistic screening in Poland practiced either by
      private gynecological practices or by some units that cooperate with the National
      Health Fund, but do Pap tests as an element of comprehensive gynecological
      examination. Those smears are not registered in the SIMP. AIM: Our aim was
      analysis of attendance rate in the Cervical Cancer Screening Program in the years
      2007-2009. We also investigated correlation between screening coverage and
      invitation sending schedule, as well as between coverage and screening
      accessibility determined by the number of gynaecological practices where Pap
      smears are collected. MATERIAL AND METHODS: Attendance rate in the Screening
      Program was evaluated for the years 2007, 2008 and 2009. The analysis included
      screening coverage in all voivodeships in the 12 months of the year as well as
      the number of gynaecological practices participating in the Program. In addition,
      the place of residence of screening attenders (urban/rural area) was taken into
      account. For the analysis the SIMP (System of Information Monitoring in
      Prophylaxis) data were used. Statistical analysis was performed using Statistica 
      9.0 software. P-values < 0.05 were considered statistically significant. RESULTS:
      The target population in the years 2007-2009 was 9,727,842 women. Personal
      invitations were sent to 99.7% of them. Pap Smears were collected from 24.14% of 
      the target women (in 2007--21.25%; in 2008--24.39%; in 2009--26.77%). We noted
      that the number of 1400 gynecological practices participating in the Program was 
      the minimal value to observe a significant increase in the number of Pap smears
      collected (p = 0.000). Polish women do not attend screening in the winter months.
      However when a batch of invitations was sent in the spring or summer months,
      within two following months we could observe an increase in the number of Pap
      smears collected (p = 0.000). There are significant differences in the screening 
      uptake in particular regions of Poland (a stable trend). Compared to urban women,
      rural women participate in the screening more often (p = 0.003). CONCLUSION: All 
      Pap test results including opportunistic screening should be registered in the
      SIMP In the regions where particularly low attendance rates were observed, an
      intensive promotional campaign should be run to encourage participation in the
      screening. Also, sending a repeated invitation to non-compliers should be
      considered. The currently unfavorable schedule of invitation sending should be
      changed. According to the analysis performed, invitations should be more
      effective if sent on a regular basis (in small but regular batches), more
      intensively in the summer and spring months. In the winter season it would
      probably be better to focus on an extensive media campaign followed by sending a 
      large number of personal invitations.
FAU - Spaczynski, Marek
AU  - Spaczynski M
AD  - Klinika Onkologii Ginekologicznej Uniwersytetu Medycznego w Poznaniu.
      [email protected]
FAU - Karowicz-Bilinska, Agata
AU  - Karowicz-Bilinska A
FAU - Rokita, Wojciech
AU  - Rokita W
FAU - Molinska-Glura, Marta
AU  - Molinska-Glura M
FAU - Januszek-Michalecka, Lucyna
AU  - Januszek-Michalecka L
FAU - Seroczynski, Przemyslaw
AU  - Seroczynski P
FAU - Uchlik, Joanna
AU  - Uchlik J
FAU - Nowak-Markwitz, Ewa
AU  - Nowak-Markwitz E
LA  - POL
PT  - English Abstract
PT  - Journal Article
TT  - Uczestnictwo kobiet w Populacyjnym Programie profilaktyki i Wczesnego Wykrywania 
      Raka Szyjki Macicy w latach 2007-2009.
PL  - Poland
TA  - Ginekol Pol
JT  - Ginekologia polska
JID - 0374641
SB  - IM
MH  - Adult
MH  - Attitude to Health
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Mass Screening/organization & administration/psychology/*utilization
MH  - Middle Aged
MH  - *Papanicolaou Test
MH  - Patient Acceptance of Health Care/psychology/*statistics & numerical data
MH  - Patient Compliance/psychology/*statistics & numerical data
MH  - Patient Education as Topic/*statistics & numerical data
MH  - Poland/epidemiology
MH  - Rural Population/statistics & numerical data
MH  - Socioeconomic Factors
MH  - Surveys and Questionnaires
MH  - Urban Population/statistics & numerical data
MH  - Uterine Cervical Neoplasms/*prevention & control/psychology
MH  - Vaginal Smears/psychology/*statistics & numerical data
MH  - Women's Health
EDAT- 2010/10/27 06:00
MHDA- 2010/11/06 06:00
CRDT- 2010/10/27 06:00
PST - ppublish
SO  - Ginekol Pol. 2010 Sep;81(9):655-63.

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