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Ann Oncol. 2010 May;21 Suppl 3:iii43-51. doi: 10.1093/annonc/mdq085.

Cancer screening in Spain.

Author information

1
Navarre Public Health Institute, Pamplona, Spain. nascunce@cfnavarra.es

Abstract

OBJECTIVE:

To describe the current status of breast, colorectal and cervical cancer screening in Spain.

METHODOLOGY:

The situation was analysed on the basis of data drawn from surveys conducted in each autonomous region (Comunidad Autónoma).

RESULTS:

Currently, breast cancer screening coverage is 100%. In 2007, overall participation was 67.0% with an adherence of 91.2%. The detection rate was 3.4 per thousand, 15.1% intraductal and 30% invasive <1 cm in diameter, with 65% showing axilary node negative. Colorectal cancer screening had been implemented in six regions (4.5% of the target population). Participation ranged from 17.2% to 42.3%, with positive test percentages ranging from 1.7 per thousand (guaiac) to 9.5% (immunological). The invasive cancer detection rate was 1.7 per thousand (guaiac) and 3.4 per thousand (immunological). In most cases, cervical cancer screening was undertaken opportunistically, with an estimated coverage of 69.0%.

CONCLUSIONS:

In Spain, cancer screening is being conducted in accordance with national and international recommendations. The fact that screening programmes are operated as a network has led to a high degree of consensus as to the methodology and information systems to be used to enable joint evaluation.

PMID:
20427360
DOI:
10.1093/annonc/mdq085
[Indexed for MEDLINE]

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