Recenzija, Prikaz slučaja
Cervical Cancer Screening: A Slovenian Experience
Maja Primic-Žakelj
Alenka Repše-Fokter
Sažetak
In Slovenia, opportunistic screening was introduced in regular gynaecological practice in 1960. The proportion of
population screened was unknown, as well as there were no standards for quality assurance and control. Despite great
number of smears read, there were no major changes in invasive cervical cancer incidence in the period 1979 till 1993,
but in 1994 the incidence rate started to increase again to reach its peak in 1997 (23,1/100.000, 241 new cases). Based on
the experiences from the countries with effectively organised screening programmes, a decision was made in 1996 by the
Minister of Health to nominate a group of experts to prepare a proposal for organised cervical cancer screening programme
after testing the methodology in pilot study. In the pilot the central computerised information system (Screening
Registry) was gradually established to register all smears from the whole country, to identify women who do not attend
for screening to send them invitation for screening and to monitor screening activity and its quality. The aim of pilot was
also to develop guidelines for quality assurance and control of all procedures involved in cervical cancer screening and
treatment of intraepithelial lesions. In three years since the beginning of the national programme, nearly 70% of women
in the target age group were registered with at least one smear. All other results are presented in regular programme reports.
There is still place for further development of the programme, but the incidence of cervical cancer already started to
decline especially among younger women, who attend for screening more often than those aged over 50.
Ključne riječi
cervical cancer; screening; cervical smear
Hrčak ID:
27463
URI
Datum izdavanja:
13.4.2007.
Posjeta: 1.595 *