Article Data

  • Views 491
  • Dowloads 116

Original Research

Open Access

Invasive cancer of the cervix: does the UK National Health Service screening programme fail due to patients’ non-attendance?

  • K. M. Clement1,*,
  • D. Mansour1

1Community Gynaecology and Reproductive Healthcare, New Croft Centre, Newcastle upon Tyne (UK).

DOI: 10.12892/ejgo340103 Vol.34,Issue 1,January 2013 pp.28-30

Published: 10 January 2013

*Corresponding Author(s): K. M. Clement E-mail: kathryn.clement@newcastle-pct.nhs.uk

Abstract

The UK National Health Service (NHS) cervical screening programme aims to prevent invasive cancer of the cervix, yet this programme fails in some women. Women diagnosed with cancer of the cervix at a colposcopy unit in the North East of England between April 1, 1997 and December 31, 2004 had cervical cytology histories classified. Thirty-seven cases were identified (median age 37 years; range 22-72 years). At six months before diagnosis, 24.3% had never undergone cytology screening (38.4% Stage IB+, 12.5% Stage IA). In addition, 59.5% of all cases were under-screened (when using criteria that included screening was ‘up to date’ if less than five years had elapsed between last negative test result and their diagnosis). Women in this case series failed to attend regular cervical screening, with those never attending screening more likely to present with advanced cancer.

Keywords

Invasive cancer of cervix; NHS cervical screening programme; Cervical cytology.

Cite and Share

K. M. Clement,D. Mansour. Invasive cancer of the cervix: does the UK National Health Service screening programme fail due to patients’ non-attendance?. European Journal of Gynaecological Oncology. 2013. 34(1);28-30.

References

[1] NHSCSP audit of invasive cervical cancer National Report 2007- 2010. NHS Cancer Screening Programmes, 2011 http://www.cancerscreening.nhs.uk/cervical/publications/nhscsp-audit-invasivecervical-cancer-201107.pdf [accessed 5 January 2012].

[2] Andrae B., Kemetli L., Sparen P., Silfverdal L., Strander B., Ryd W. et al.: “Screening-preventable cervical cancer risks: evidence from a nationwide audit in Sweden”. J. Natl. Cancer Inst., 2008, 100, 622.

[3] Brinkmann D., Gladman M.A., Norman S., Lawton F.G.: “Why do women still develop cancer of the cervix despite the existence of a national screening programme?”. Eur. J. Obstet. Gynecol. Reprod. Biol., 2005, 119, 123.

[4] Profile of Cervical Cancer in England. Incidence, Mortality and Survival. NHS Cancer Screening Programmes, 2011 http://www.cancerscreening.nhs.uk/cervical/profile-cervical-cancer-england-report.pdf [accessed 14 March 2012].

[5] Plackett R.L.: “The analysis of categorical data (2nd Edition)”. London, UK. Griffin, 1981.

[6] Sasieni P.D., Cuzick J., Lynch-Farmery E.: “Estimating the efficacy of auditing smear histories of women with and without cervical cancer”. Br. J. Cancer, 1996, 73, 1001.

[7] Szarewski A., Cadman L., Mesher D., Austin J., Ashdown-Barr L., Edwards R. et al.: “HPV self-sampling as an alternative strategy in non-attenders for cervical screening – a randomised controlled trail”. Br. J. Cancer, 2011, 104, 915

[8] Andrae B., Andersson T.M., Lambert P.C., Kemetli L., Silfverdal L., Stander B. et al.: “Screening and cervical cancer cure: population based cohort study”. BMJ, 2011, 344, 18

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Submission Turnaround Time

Conferences

Top