Improving cervical cancer screening in Baltic, central, and eastern European countries
Cette étude évalue, pour 6 pays (Estonie, Lettonie, Lituanie, Biélorussie, Bulgarie, Russie), le nombre de cancers du col de l'utérus pouvant être évités sur la période 2014-2040 grâce à la mise en place de programmes de dépistage dans ces régions
Cervical cancer is a disease with a high social and psychological burden, for which screening has shown efficacy and cost effectiveness.However, implementation of cervical cancer screening has been proving difficult in several European countries (eg, Bulgaria and Romania), resulting in delayed adoption of effective treatment. After a 2010 European Parliament resolution called for the enactment of cancer prevention programmes (mainly cervical, breast, and colon cancer), some European Union member states set up screening programmes, while others began to implement organised cervical cancer screening.Notably, organised screening is more effective than spontaneous screening in reducing cervical cancer incidence and mortality.However, even in some European countries with organised screening, coverage is inadequate. The incidence of cervical cancer is higher in women who have not been invited to screening or have not accepted the invitation to be screened.These considerations suggest a close connection between scientific evidence (ie, incidence and mortality rates) and the implementation of a sound screening programme (...)
The Lancet Oncology , commentaire, 2015