Mass Screening for Cancer of the Uterine Cervix in Miyagi Prefecture, Japan

Evaluating the Accuracy of Uterine Cancer Screening with the Regional Cancer Registration System

“…The specimens were sent to the MCS and evaluated. 15,16 There were 216,373 examinees whose cytodiagnoses were registered in a computer at the MCS between April 1, 1991, and March 31, 1992. Among these examinees, 186,161 underwent the administrative cervical cytodiagnosis, and 5,697 individuals (3.1%) underwent endometrial cytodiagnosis.…”

“…Thereafter, due to an increase in endometrial cancer, examination for it was incorporated into the second five-year plan, beginning in 1987, and the examinations have gradually become more common. 15,16 For the elderly population, effective utilization of revenue for medical care has been demanded. Demands for evaluation of the effectiveness of cancer screening have been increasing, and test accuracy, effects of decreasing mortality and invasive cancer, selection of examinees, the screening program and improvement in diagnostic techniques are going to be investigated.…”

Determining the Cost-Effectiveness of Mass Screening for Cervical Cancer Using Common Analytic Models

“…In Japan, mass screening began at the beginning of 1962 in Miyagi Prefecture and then spread nationwide. 9 The government established the Health and Medical Service Law for the Aged to financially support mass screening of women aged 30 or older in 1982.…”

Cost-Effectiveness of Korea's National Cervical Cancer Screening Program

“…For instance, in one Japanese prefecture, screening participation increased from 0.2% in 1961 to 30.4% in 1991, and cervical-cancer related mortality fell from 12.1 per 100,000 in 1961 to 4.0 per 100,000 in 1994 (Sato et al, 1998). Similarly, a cohort study found that Korean women who had been screened more than once had a significantly reduced risk of invasive cervical cancer or carcinoma in situ compared to unscreened women (Jun et al, 2009).…”