[Extension of organised cervical cancer screening programmes in Italy and their process indicators, 2010 activity]

Epidemiol Prev. 2012 Nov-Dec;36(6 Suppl 1):39-54.
[Article in Italian]

Abstract

Italian national guidelines recommend to regions the implementation of organised screening programmes for cervical cancer. As in previous years since 1998 we collected aggregated tables of data from Italian organised cervical screening programmes in order to centrally compute process indicators. Data on women invited during 2010 and screened up to April 2011 were considered. In 2010, the target population of Italian organised screening programmes included 13,538,080 women, corresponding to 80.1% of Italian women aged 25-64 years. Compliance to invitation was 39.8%, with a strong North-South decreasing trend. However, it should be considered that many women are screened outside organised programmes. Among screened women, 4.7% were referred for repeat cytology and 62.7% of them complied; 2.5% of screened women were referred to colposcopy. Compliance with colposcopy referral was 85.9% among women referred because of ASC-US or more severe cytology and 88.7% among those referred because of HSIL or more severe cytology. The positive predictive value (PPV) of referral because of ASC-US or more severe cytology for CIN2 or more severe histology was 16.0%. The unadjusted detection rate of CIN2 or more severe histology was 3.2 per 1,000 screened women (3.5 standardised on the Italian population, truncated 25-64).

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Adult
  • Biopsy
  • Colposcopy / statistics & numerical data*
  • Early Detection of Cancer / statistics & numerical data
  • Early Detection of Cancer / trends*
  • Female
  • Guidelines as Topic
  • Humans
  • Italy / epidemiology
  • Mass Screening / statistics & numerical data
  • Mass Screening / trends*
  • Middle Aged
  • Patient Compliance / statistics & numerical data*
  • Predictive Value of Tests
  • Process Assessment, Health Care*
  • Quality Indicators, Health Care*
  • Referral and Consultation / statistics & numerical data
  • Reproducibility of Results
  • Uterine Cervical Neoplasms / diagnosis*
  • Uterine Cervical Neoplasms / epidemiology
  • Uterine Cervical Neoplasms / prevention & control