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Author Spotlight: Exploring the Role of FAM83A in Cervical Cancer
Published on: February 9, 2024
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Cervical cancer screening in Sweden 2014-2016
Maria Hortlund1, K Miriam Elfström1, Pär Sparén2
1Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Plos One
|December 18, 2018
Summary
Regular reporting of cervical screening quality indicators is essential for optimization. Despite stable coverage and improving follow-up rates, an unexplained rise in cervical cancer incidence was observed in Sweden.
Area of Science:
- Public Health
- Gynecologic Oncology
- Epidemiology
Background:
- Incremental optimization of screening programs necessitates regular quality indicator reporting.
- Understanding cervical screening performance is crucial for public health initiatives.
Purpose of the Study:
- To report key quality indicators for cervical screening in Sweden.
- To present basic statistics on cervical screening outcomes.
Main Methods:
- Individual-level data on cervical cytology, histopathology, and human papillomavirus (HPV) testing were collected.
- Data encompassed all cervical screening invitations in Sweden from 2013-2016.
Main Results:
- Over 2.27 million cervical samples were analyzed between 2014-2016, with 69% from organized screening.
- Screening coverage for women aged 23-60 reached 82%, showing slow but steady increase over a decade.
- County-level coverage varied significantly (71%-92%), and 96% of women with high-grade lesions had timely follow-up, yet cervical cancer incidence trended upward.
Conclusions:
- Key quality indicators for cervical screening, including population coverage and follow-up rates, demonstrated stability or improvement.
- An unexplained increase in cervical cancer incidence was noted despite positive trends in quality indicators.
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