J Med Screen 2008;15:207-210
doi:10.1258/jms.2008.008057
© 2008 Medical Screening Society
Consensus recommendations for cervical cancer prevention in the Czech Republic: a report of the International Conference on Human Papillomavirus in Human Pathology (Prague, 1–3 May 2008)
Ruth Tachezy
,
National Reference Laboratory for Papillomaviruses, Department of Experimental Virology, Institute of Haematology and Blood Transfusion, Prague, Czech Republic
Philip Davies
,
European Cervical Cancer Association, Brussels, Belgium
Marc Arbyn
,
Unit of Cancer Epidemiology, Scientific Institute of Public Health, Brussels, Belgium; ECCG (European Cooperation on development and implementation of Cancer screening and prevention Guidelines), IARC, Lyon, France
Lukás Rob
,
Department of Oncogynaecology, Second Medical Faculty, Obstetrics and Gynaecology Clinic, Charles University, Prague, Czech Republic
Gunta Lazdane
,
WHO Regional Office for Europe, Copenhagen, Denmark
Jana Petrenko
,
Coalition for Health, Prague, Czech Republic
Eva Hamsíková
,
National Reference Laboratory for Papillomaviruses, Department of Experimental Virology, Institute of Haematology and Blood Transfusion, Prague, Czech Republic
Alena Beková
,
Centre of Gynaecology-Oncology Prevention, Prague, Czech Republic
Jan Klozar
,
Department of Otolaryngology Head and Neck Surgery, First Medical Faculty, Charles University, Prague, Czech Republic
Jaroslava Dusková
,
Institute of Pathology, First Medical Faculty and Chair of Pathology Institute of Postgraduate Studies, Prague, Czech Republic
Correspondence to: Ruth Tachezy, National Reference Laboratory for Papillomaviruses, Department of Experimental Virology, Institute of Haematology and Blood Transfusion, U Nemocnice 1, 128 20 Prague, Czech Republic; rutach{at}uhkt.cz
A comparison of cervical cancer incidence and mortality in the
Czech Republic with that from other countries shows that the
burden of cervical cancer here is considerably higher than in
Western Europe, where screening is widespread. In May 2008,
the International Conference on Human Papillomavirus in Human
Pathology was convened to review the latest evidence and to
formulate consensus recommendations for the reduction of cervical
cancer rates. The Czech Republic is spending considerable resources
on cervical cancer prevention, but these resources are being
used inefficiently. The current system is characterized by a
lack of coordination and monitoring that leads to the over-screening
of a minority of women while the majority of the target population
are under-screened or not screened at all. It was recommended
that a comprehensive, organized programme be implemented, coordinated
by an independent administrative body with legal and budgetary
responsibility. As the laboratory infrastructure and professional
technical skills required for a quality-assured organized screening
programme are already in place, implementation of this programme
would not require much in the way of additional resources to
produce substantial cost-effective reductions in cervical cancer
rates.

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