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Cervical Cancer Surveillance, Screening, and Treatment

This article explores the trends in cervical cancer incidence and mortality rates, disparities in cervical cancer outcomes, and the barriers to prevention and treatment. It also highlights the importance of surveillance, screening, and guideline-based treatment options.

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Cervical Cancer Surveillance, Screening, and Treatment

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  1. Cervical Cancer Surveillance, Screening, and Treatment Vicki B. Benard, PhD Chief, Cancer Surveillance Branch, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention June 27, 2019

  2. Vaccine Treatment Screening

  3. After Decades of Declining Rates, Incidence and Mortality Rates Have Leveled Off Since 2007 Trends in Cervical Cancer Incidence and Mortality, 1975–2016 National Cancer Institute, Surveillance, Epidemiology, and End Results program: seer.cancer.gov/statfacts/html/cervix.html CDC, National Center for Health Statistics

  4. Cervical Cancer Disparities in the United States • Higher rates of cervical cancer in: • Black and Hispanic women • Women living in nonmetropolitan areas • Women with lower socioeconomic status • Women who have never been screened or not screened in past 5 years AAPC: Average annual percent change NS: Non-significant Henley SJ, Anderson RN, Thomas, CC, et al. MMWR SurveillSumm2017; Jul 7;66(14):1-13

  5. Screening rates vary widely across the U.S. HP 2020 Goal: 93% Populations with lower Pap screening rates: • Foreign-born women • Women with low education levels and high poverty threshold • Uninsured/underinsured Source: 2016 BRFSS Data - https://www.cdc.gov/brfss/brfssprevalence/index.html

  6. Guideline-based Treatment for Cervical Cancer Uppal. Et al Disparities in Advanced Cervical Cancer Care. ObstetGynecol 2017.

  7. Barriers to Cervical Cancer Prevention • Individual Factors Provider and Facilities Factors • Low HPV awareness • Poor understanding of HPV/Cancer link • Cultural issues • Poor screening uptake • Compromised follow-up Systemic Factors • Training and education • Resource and facilities • Advance therapeutics(chemo/rad) • Palliation • Access to healthcare • Un-insurance • Surveillance and tracking systems • Immigration status

  8. CDC’s National Program of Cancer Registries

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