The Icelandic and Nordic cervical screening programs: trends in incidence and mortality rates through 1995.

摘要: Background The objective of cervical cancer screening is to lower the incidence and mortality rates disease. This study evaluates effectiveness UICC EC recommendations based on Nordic experience. Methods analyzes features Icelandic programs observed trends in these countries through 1995. Results Organized started all soon after 1960 had nation-wide coverage countries, except Denmark (45% 1991), by around 1973 but Norway was only spontaneous up late 1994. Up 1985 target age group interval were most intensive Iceland, followed Finland, Sweden Denmark. All Finland lowered limit intensified intervals 1985. Through period 1986-1995 reduction both greatest Iceland (mortality: 76% incidence: 67%) (73% 75%, respectively), intermediate (60% 55%, respectively) (55% 54%, lowest (43% 34%, respectively). age-specific 20-29 has been increasing since 1971 where yearly registered targeted 30-54 1991. In greatly affected rate stages squamous cell carcinoma, not adeno- adenosquamous carcinomas. fact adenocarcinoma increasing. Conclusions more effective than reducing risk cancer. Although differences environmental, biological ethnic factors may call for different strategies, should preferably start 20 with a 2-3 years.