Document Detail

Cost effectiveness of population screening and rescreening for cervical cancer in the Netherlands.
MedLine Citation:
PMID:  6792845     Owner:  NLM     Status:  MEDLINE    
In a screening program for cervical cancer held in the western part of the Netherlands in 1978, it was shown that the incidence of positive cases dropped from 8.0% to 1.4% when repeat screening was performed within two years; however, the incidence of mild dysplasia remained the same (13.0%). Forty percent of the allocated funds were used for canvassing. Recanvassing of the no-response group did not result in the finding of positive cases. Of the ten positive cases in the rescreened group, four had had inadequate negative smears previously, and two had had adequate negative smears; in two cases the previous smears were reclassified as dysplasias, and in the two remaining cases endocervical carcinoma cells were found in the additional endocervical smear. In light of the high canvassing costs of population screening and the low detection rate of positive cases in the rescreened group, as described in this paper, it appears overly costly to repeat population screening with two years.
M E Boon; J C de Graaff Guilloud
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta cytologica     Volume:  25     ISSN:  0001-5547     ISO Abbreviation:  Acta Cytol.     Publication Date:    1981 Sep-Oct
Date Detail:
Created Date:  1981-11-24     Completed Date:  1981-11-24     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0370307     Medline TA:  Acta Cytol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  539-42     Citation Subset:  IM    
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MeSH Terms
Cost-Benefit Analysis
Mass Screening / economics*
Middle Aged
Uterine Cervical Dysplasia / diagnosis,  epidemiology
Uterine Cervical Neoplasms / diagnosis,  epidemiology*
Vaginal Smears / economics*

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