European Journal of Epidemiology

, Volume 32, Issue 6, pp 529–532 | Cite as

Trends in cervical cancer incidence and mortality in Poland: is there an impact of the introduction of the organised screening?

  • Andrzej Nowakowski
  • Urszula Wojciechowska
  • Paulina Wieszczy
  • Marek Cybulski
  • Michał F. Kamiński
  • Joanna Didkowska
LETTER TO THE EDITOR

Abstract

Aside from existing opportunistic screening, an organised screening programme (OSP) for cervical cancer (CC) was implemented in 2006/2007 in Poland. We applied joinpoint regression and age-period-cohort model to look for the impact of the OSP on CC incidence/mortality trends. Decline of age-standardised incidence rates (ASIRs) in the screening-age group (25–59 years) accelerated from −2.2% (95% CI −2.7 to −1.7%) between 1993 and 2008 to −6.1% (95% CI −7.7 to −4.4%) annually after 2008. In women aged 60+ years, ASIRs declined from 1986 until 2005 [annual percent change (APC) = −2.6%, 95% CI −2.9 to −2.4%] and stabilised thereafter. Decline of age-standardised mortality rates (ASMRs) in the screening-age group accelerated from −1.3% (95% CI −1.5 to −1.1%) between 1980 and 2005 to −4.7% (95% CI −5.6 to −3.8%) annually after 2005. In women aged 60+ ASMR declined between 1991 and 2004 (APC = −2.9%, 95% CI −3.5 to −2.3%) and stabilised thereafter. Relative risks of CC diagnosis and death were 0.63 (95% CI 0.62–0.65) and 0.61 (95% CI 0.59–0.63), respectively, for the most recent period compared to the reference around 1982. Implementation of the OSP possibly accelerated downward trends in the burden of CC in Polish women under the age of 60, but recent stabilisation of trends in older women requires actions.

Keywords

Cervical cancer Incidence Mortality Trends Poland Screening Cytology 

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Copyright information

© Springer Science+Business Media B.V. 2017

Authors and Affiliations

  • Andrzej Nowakowski
    • 1
    • 2
  • Urszula Wojciechowska
    • 3
  • Paulina Wieszczy
    • 2
    • 4
  • Marek Cybulski
    • 5
  • Michał F. Kamiński
    • 2
    • 4
    • 6
  • Joanna Didkowska
    • 3
  1. 1.Second Department of Gynaecological OncologySt. John’s Cancer Centre of LublinLublinPoland
  2. 2.Department of Cancer PreventionThe Maria Sklodowska-Curie Memorial Cancer Centre and Institute of OncologyWarsawPoland
  3. 3.Department of Epidemiology and Cancer PreventionThe Maria Sklodowska-Curie Memorial Cancer Centre and Institute of OncologyWarsawPoland
  4. 4.Department of Gastroentrology, Hepatology and Clinical OncologyCentre of Postgraduate Medical EducationWarsawPoland
  5. 5.Department of Biochemistry and Molecular BiologyMedical University of LublinLublinPoland
  6. 6.Department of Health Management and Health Economics, Institute of Health and SocietyUniversity of OsloOsloNorway

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