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

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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.

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Authors and Affiliations

  1. Second Department of Gynaecological Oncology, St. John’s Cancer Centre of Lublin, ul. Jaczewskiego 7, 20-090, Lublin, Poland

    Andrzej Nowakowski

  2. Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, ul. Wilhelma Konrada Roentgena 5, 02-781, Warsaw, Poland

    Andrzej Nowakowski, Paulina Wieszczy & Michał F. Kamiński

  3. Department of Epidemiology and Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, ul. Wawelska 15B, 02-034, Warsaw, Poland

    Urszula Wojciechowska & Joanna Didkowska

  4. Department of Gastroentrology, Hepatology and Clinical Oncology, Centre of Postgraduate Medical Education, ul. Wilhelma Konrada Roentgena 5, 02-781, Warsaw, Poland

    Paulina Wieszczy & Michał F. Kamiński

  5. Department of Biochemistry and Molecular Biology, Medical University of Lublin, ul. Chodźki 1, 20-093, Lublin, Poland

    Marek Cybulski

  6. Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo, Norway

    Michał F. Kamiński

Authors
  1. Andrzej Nowakowski
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  2. Urszula Wojciechowska
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  3. Paulina Wieszczy
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  4. Marek Cybulski
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  5. Michał F. Kamiński
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  6. Joanna Didkowska
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Corresponding author

Correspondence to Andrzej Nowakowski.

Additional information

Andrzej Nowakowski and Urszula Wojciechowska are co-first authors.

Michał F. Kamiński and Joanna Didkowska are co-senior authors.

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Nowakowski, A., Wojciechowska, U., Wieszczy, P. et al. Trends in cervical cancer incidence and mortality in Poland: is there an impact of the introduction of the organised screening?. Eur J Epidemiol 32, 529–532 (2017). https://doi.org/10.1007/s10654-017-0291-6

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  • DOI: https://doi.org/10.1007/s10654-017-0291-6

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