Organized cervical cancer screening. Evaluation of organized cervical cancer screening in the four permanent departments and the nine pilot departments. Pilot program 2010–2014
In 2010, 13 departments launched a pilot program for organized cervical cancer screening based on a common protocol: sending invitations and follow-up reminders to women aged 25–65 who had not been screened in the past three years, and having administrative offices collect data on all tests performed, whether the screening was done voluntarily or in response to an invitation. Overall screening coverage was 62%. Invitations led to the screening of nearly 231,000 women, and follow-ups screened an additional 48,000 women, representing a 12-point increase in coverage attributable to organized screening. Sample quality is good; the proportion of unsatisfactory Pap smears does not exceed the 2% threshold. However, the proportion of women who do not undergo a repeat Pap test after an unsatisfactory result is significant (30–80% at 6 months, depending on the department). Among the interpretable Pap tests, 4.2% were positive, with 3.5% showing low-grade abnormalities and 0.8% showing high-grade abnormalities. In total, 323 invasive cancers and 5,180 precancerous lesions were detected, representing rates per 100,000 women aged 25–65 (INSEE population) of 16.1 and 258.4, respectively. This assessment shows that expanding organized screening would increase the number of women screened.
Author(s): Duport N, Beltzer N
Publishing year: 2016
Pages: 46 p.
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