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Cervical cancer in India--strategy for control
1Indian Council of Medical Research, Ansari Nagar, New Delhi.
Indian Journal of Cancer
|September 1, 1992
Summary
Cervical cancer is the most common cancer in Indian women. A single lifetime screening via Pap smear at age 45 is recommended for early detection and prevention.
Area of Science:
- Oncology
- Epidemiology
- Public Health
Background:
- Cervical cancer is the most prevalent cancer among women in India.
- Risk factors are primarily associated with sexual behavior.
- Current control strategies focus on secondary prevention through Pap smear screening.
Purpose of the Study:
- To evaluate alternative secondary prevention strategies for cervical cancer control in India.
- To determine the most cost-effective screening approach considering saved cases and life years.
Main Methods:
- Analysis of epidemiological data on cervical cancer incidence in India.
- Modeling of alternative screening strategies, including lifetime screening at age 45.
- Cost-effectiveness analysis comparing different screening protocols.
Main Results:
- Cervical cancer incidence is significantly high among Indian women.
- A single lifetime screening at age 45 is identified as an optimal strategy.
- This strategy balances case reduction, life-year preservation, and economic considerations.
Conclusions:
- Implementing a one-time Pap smear screening for women at age 45 is a recommended public health strategy for India.
- This approach offers a cost-effective method for cervical cancer control.
- Early detection through this targeted screening can significantly reduce the burden of cervical cancer.