IPVS statement moving towards elimination of cervical cancer as a public health problem

Garland, SM; Giuliano, Anna; Brotherton, Jml; Moscicki, AB; Stanley, Margaret; Kaufmann, Andreas M.; Bhatla, Neerja; Sankaranarayanan, Rengaswamy; Jm, Palefsky; Sanjosé, Sílvia de

doi:10.1016/j.pvr.2018.02.003

Cited by 23 publications

(13 citation statements)

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“…Elimination of cervical cancer could be a real possibility in the future,22 23 particularly in Australia where the successful school-based HPV vaccination programme for girls and boys has shown significant reductions of incidence in the vaccine-related HPV genotypes, which are high-risk types for cervical cancer 24 25. Additionally, the recent approval and implementation of the nonavalent vaccine is likely to reduce the incidence of HPV further 26.…”

Section: Discussionmentioning

confidence: 99%

Examining the information needed for acceptance of deintensified screening programmes: qualitative focus groups about cervical screening in Australia

et al. 2019

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ObjectivesGiven the changing understanding of overdiagnosis of screen detected cancers and advances in technology to detect and prevent cancer, updating and scaling back cancer screening programmes is becoming increasingly necessary. The National Cervical Screening Programme (NCSP) in Australia was recently deintensified, with the changes implemented in December 2017. This study examines women’s understanding and acceptance of the renewed screening protocol and how such changes can be communicated more effectively.DesignFocus groups structured around a presentation of information about the renewed NCSP, with discussions of the information facilitated throughout. Qualitative data analysis was conducted.SettingAustraliaParticipantsSix focus groups were conducted in November 2017 with a community sample of 49 women aged 18–74.ResultsWomen demonstrated little or no awareness of the upcoming screening changes in the period just before they occurred. Women expressed most concern and fear that the increased screening interval (from 2 to 5 years) and later age of first screening (from age 18 to 25 years) could lead to missing cancers. Concerns about exit testing were less common. Understanding of the natural history and the prevalence of both human papillomavirus and cervical cancer, and the nature of the new test (catching it ‘earlier’) was key to alleviate concerns about the increased screening interval.ConclusionsDeintensifying screening programmes should be accompanied by clear and coherent communication of the changes, including the rationale behind them, to limit concerns from the public and facilitate acceptance of renewed programmes. In this case, understanding the biology of cervical cancer was crucial.

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Section: Discussionmentioning

confidence: 99%

Examining the information needed for acceptance of deintensified screening programmes: qualitative focus groups about cervical screening in Australia

et al. 2019

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“…In January 2019, the Executive Board of the WHO requested the Director General “to develop, in consultation with Member States and other relevant stakeholders, a draft global strategy to accelerate cervical cancer elimination, with clear goals and targets for the period 2020–2030.” This strategy will be considered at the World Health Assembly in 2020 2. In 2019, several key societies, including the European Society of Gynaecologic Oncology (ESGO) and the International Gynecologic Cancer Society (IGCS), have supported the WHO mission in several ways, including participation with key stakeholder consultations 5–7…”

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confidence: 99%

World Health Organization call for action to eliminate cervical cancer globally

Gültekin

Ramírez

Broutet

et al. 2020

Int J Gynecol Cancer

143

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“…The International Papillomavirus Society call to action states: “Combining HPV vaccination at high coverage for adolescents and high coverage of cervical screening, with appropriate treatment of all women, can eliminate cervical cancer as a public health problem. Recent modeling suggests that, with the tools available, elimination of cervical cancer in local populations is achievable within our lifetime.” 1 …”

Section: Moderator Statementmentioning

confidence: 99%

Equal Management of Equal Risks: What Should be Used as the Standard for Cervical Cancer Prevention?

Kinney¹,

Perkins

Sawaya

2018

J Low Genit Tract Dis

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IPVS statement moving towards elimination of cervical cancer as a public health problem

Cited by 23 publications

References 0 publications

Examining the information needed for acceptance of deintensified screening programmes: qualitative focus groups about cervical screening in Australia

Examining the information needed for acceptance of deintensified screening programmes: qualitative focus groups about cervical screening in Australia

World Health Organization call for action to eliminate cervical cancer globally

Equal Management of Equal Risks: What Should be Used as the Standard for Cervical Cancer Prevention?

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