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Cervical cancer: STUDY TO INCREASE ATTENDANCE RATE AT SCREENING

NORWAY. Oslo. Cervical cancer: STUDY TO INCREASE ATTENDANCE RATE AT SCREENING. :. Presented by R. Kurtinaitiene M. D., PhD Vilnius University. ISPRA , 20 12 . 02 . 27. Biržai. Joniškis. Akmenė. Mažeikiai. Pasvalys. Skuodas. Pa. kruojis. Rokiškis. Kupiškis. Zarasai. Telšiai.

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Cervical cancer: STUDY TO INCREASE ATTENDANCE RATE AT SCREENING

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  1. NORWAY Oslo Cervical cancer: STUDY TO INCREASE ATTENDANCE RATE AT SCREENING : Presented by R. Kurtinaitiene M. D., PhD Vilnius University ISPRA, 2012.02.27

  2. Biržai Joniškis Akmenė Mažeikiai Pasvalys Skuodas Pa kruojis Rokiškis Kupiškis Zarasai Telšiai Kretinga Plungė NORWAY Radviliškis Plungė Utena Ignalina Kelmė Anykščiai Šilalė Oslo Raseiniai Kėdainiai Ukmergė Molėtai Švenčionys Tauragė Šilutė Jonava Jurbarkas Širvintos Šakiai Kaišiadorys Trakai Prienai Marijampolė Vilkaviškis Šalčininkai Alytus Varėna Lazdijai Cervical Cancer Screening in Lithuania Nation - wide screening started at July 1, 2004 841 000 women at age 25-60are on the target,with interval of 3 years

  3. Changing patterns of cervical cancer: - Invasive (C53) and - Ca in situ (D06)2000-2010 PROGRAMA Source: National State Patients funds data base

  4. Number of invitations and Pap smear coverageduring 2004-2009 program period Source:National State Patients funds data base

  5. AIMS OF THE STUDY To increase attendance rate for cervical cancer screening programthrough personal invitations Statisticaly evaluate and compare screening effectiveness in non-invited and invited women in region with lowest invitation rate Disseminate the study results through politicians and scientific society.

  6. Number of invitations and volume Pap test during the programme2009 period according Lithuanian regions 50 501 invitations

  7. Materials and methods City-Panevėžys PHCC-13 670 registered women at age 25-60 woman who not participated in the program since June 2004 were on the target 1789 the personal registered invitation letterswere sent by post (2010 December) Attendance rate was analyzed in the period Jan-Jun 2011 Information campaign on regional TV, local newspapers, web site and radio to ask women to participate in CC screening programme.

  8. Survey on invitations • Invitation mailed to the woman with detailed information on cervical cancer and the major risk factors.

  9. Results • 487 invited women attend to screening programm (response rate is 27.2%) • 12 (2,5%) women were from rural area3 (25%) of them had pathological cytology • 14 cases (2.7 %) of pathological cytology were detected

  10. The volume of women who attend the screening campaign from 2011 January-June

  11. ASCUS-1, LSIL-1, HSIL-1 (21%) rural area women Cytology diagnosis

  12. Results • Comparing the results of the year 2010 (Jan-Jun), with the results of the year 2011 (Jan-Jun) we found that the number of women attending the program has increased almost twice (976 compared to 1414)

  13. Attendance rate 2011 Jan-Jun

  14. Results of action in Panevėžys municipality(study 2011)

  15. Summary The pilot study using the centralized invitation system was carried out in one the municipalities in Lithuania. 1789 of invitations were distributed by mail in December 2010. Matched to the results of the year 2010, the number of the woman attending the program has increased almost twice (compare 978 to 1414). Rural area women belong to the risk group of cytological pathology

  16. Summary • The EUROCHIP study group suggested that the lack of centralized invitation system is a barrier to reaching higher attendance rates in the program

  17. Thank you!

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