+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Time trends in cervical cancer epidemiology in the Slovak Republic: reflection on the non-implementation of screening with international comparisons

Time trends in cervical cancer epidemiology in the Slovak Republic: reflection on the non-implementation of screening with international comparisons

Neoplasma 59(2): 121-128

Cervical cancer is a serious public health problem with high geographical variations in incidence, mainly due to historical patterns of risk factors and the influence of screening activities. To reduce both cervical cancer incidence and mortality is the primary objective of organized screening and annual reports of high quality utilising accepted interventional measures. Currently, the time-trends in overall incidence and mortality from cervical cancer in the Slovak Republic are implacable. The high incidence values of this condition that have stabilized long term without any signs of a significant decrease rank us among the "developing countries" in Europe. Moreover, the continuing low accessibility of vaccinations for the population lowers the potential effect of an improvement in the incidence of pre-malignant lesions of cervical cancer. Without a basic analysis of the cervical cancer epidemiological data it is not possible to discover the causes of this unfavorable situation and thus condition changes at the level of screening and early diagnostics.Following this, we aimed to analyse the incidence and mortality of cervical cancer over the period 1968-2006 and to point out the necessity for the early introduction of interventional measures in accordance with organized screening in the Slovak Republic.There was recorded a stabilized trend in incidence with an estimated average annual change -0.008/100.000 (95% CI = -0.048 to 0,032, p =0.689) and a moderately increasing trend in mortality with average annual increase 0.049/100,000 (95% CI = 0.033 to 0.065, p < 0.0001). In 2003-2006, the cumulative risk of disease (0-74 years) averaged 1.5‚ÄČ%, the cumulative risk of death reached 0.5%. The analyses of clinical stages during the period 1978-2003 showed that the number of cases in clinical stage I increased, the stage II rate declined, and the numbers of cases in stages III and IV were still high with, moreover, a rising tendency. In comparison with other European countries these trends are unfavorable and our results have confirmed the necessity of an immediate introduction of organized screening in the SR.

(PDF emailed within 1 workday: $29.90)

Accession: 056585605

Download citation: RISBibTeXText

PMID: 22248268

Related references

Long-term trends in the development of the epidemiology of breast cancer in the Slovak and Czech Republic with reference to applied screening and international comparisons. Neoplasma 59(1): 70-78, 2012

Recent patterns in stomach cancer descriptive epidemiology in the Slovak Republic with reference to international comparisons. Klinicka Onkologie 24(6): 447-452, 2012

Long-Term Trends in Breast Cancer Epidemiology in the Slovak Republic. Value in Health 17(7): A618-A618, 2014

Recent patterns in testicular cancer incidence, mortality and survival in the Slovak Republic with reference to international comparisons. Cancer Investigation 30(8): 545-551, 2012

Long-Term Trends In Descriptive Epidemiology Of Malignant Melanoma In The Slovak Republic. Value in Health 18(7): A431-A431, 2015

Long-term trends in the epidemiology of human leptospirosis (Slovak Republic, 1954-2006). European Journal of Clinical Microbiology & Infectious Diseases 31(9): 2167-2176, 2013

National portal of cancer epidemiology in the Slovak Republic. Bratislavske Lekarske Listy 109(7): 329-330, 2008

Historical Analysis of the Brazilian Cervical Cancer Screening Program from 2006 to 2013: A Time for Reflection. Plos One 10(9): E0138945-E0138945, 2016

Trends Over Time in Pap and Pap-HPV Cotesting for Cervical Cancer Screening. Journal of Women's Health 2019, 2019

Recent trends in cancer mortality in the Slovak Republic and in Europe. Neoplasma 47(1): 68-72, 2000

The preventive potential of organized cervical cancer screening among women in Manitoba, Canada A descriptive epidemiology of invasive cervical cancer and in situ cervical cancer, 1969-1998. American Journal of Epidemiology 153(11 Supplement): S249, June 1, 2001

Time trends in cervical cancer screening rates in the OECD countries. Japanese Journal of Clinical Oncology 41(5): 731-732, 2011

Breast cancer screening in the Czech Republic: time trends in performance indicators during the first seven years of the organised programme. Bmc Public Health 11(): 288-288, 2011

Colorectal cancer prevention in the Czech Republic: time trends in performance indicators and current situation after 10 years of screening. European Journal of Cancer Prevention 23(1): 18-26, 2014

Trends in the reproductive health of women in the Czech Republic 1993-1997. V. International comparisons. Ceska Gynekologie 65(6): 398-405, 2001