THE DIFFERENT SCREENING METHODS FOR THE CERVICAL LESION DIAGNOSTIC AND THE ECONOMIC AND SOCIAL IMPLICATIONS OF SCREENING AMONG FEMALE POPULATION

Codrin Gheorge, Verginica Schröder, R. Stoicescu, I. Dumitru
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Abstract

"The study aims to compare different screening methods that are currently being used to confirm a cervical intraepithelial lesion (CIN) underlying the inherent advantages of the varied examination procedures. In this study we are looking at the quality contrast of the different paraclinical examinations relative to the cost, invasiveness and cultural acceptance of such procedures. Every year, more than 100,000 women in EU countries are diagnosed with cervix uteri cancers (CCU). This type of cancer can be prevented if precancerous cells are detected and treated. HPV is found in over 90% of cervix uteri cancers. In Europe, more than half of the countries have implemented screening programs for cervical cancer, and most European countries now have national HPV vaccination programs, however target populations vary depending on the epidemiological evidence and the budgetary level of each countries health system. In this study we evaluated and compared the current and modern techniques used for cervix cellular diagnostics. Also, this study helps improve the understanding on the economic and social implications of screening among female population and the impact it has on healthcare system relieving. Romania recorded an incidence of 22.6 cases of cervix uteri cancers / 100.000 women (age standardized rate), and a mortality of 9.6 / 100.000, ranking second highest in the EU zone."
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宫颈病变诊断的不同筛查方法及其在女性人群中的经济和社会意义
“该研究旨在比较目前用于确认宫颈上皮内病变(CIN)的不同筛查方法,这些方法具有不同检查程序的固有优势。在这项研究中,我们正在研究不同临床旁检查的质量对比,这些检查与成本、侵入性和文化接受度有关。每年,欧盟国家有超过10万名妇女被诊断患有宫颈癌(CCU)。如果发现并治疗癌前细胞,这种类型的癌症是可以预防的。HPV在超过90%的子宫颈癌中被发现。在欧洲,超过一半的国家实施了宫颈癌筛查计划,大多数欧洲国家现在都有国家HPV疫苗接种计划,但目标人群因流行病学证据和各国卫生系统的预算水平而异。在这项研究中,我们评估和比较当前和现代技术用于宫颈细胞诊断。同时,本研究有助于提高对女性人群筛查的经济和社会影响及其对医疗保健系统缓解的影响的理解。罗马尼亚记录的宫颈癌发病率为每100 000名妇女22.6例(年龄标准化率),死亡率为每100 000名妇女9.6例,在欧盟区内排名第二。”
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