title: Extension of organised cervical cancer screening programmes in Italy and their process indicators: 2008 activity.
abstract: Italian national guidelines recommend to Regions the implementation of organised screening programmes for cervical cancer. As in previous years since 1998, we collected from Italian organised cervical screening programmes aggregated tables of data in order to centrally compute process indicators. Data on women invited during 2008 and screened up to April 2009 were considered. In 2008, the target population of Italian organised screening programmes included 13,094,025 women, corresponding to 78.4% of Italian women aged 25-64 years. Compliance to invitation was 39.7%, with a strong North-South decreasing trend. However, it should be considered that many women are screened outside the organised programmes. Of the women screened, 5.2%were referred for repeat cytology and 63.0% of them complied; 2.4% of screened women were referred to colposcopy. Compliance with colposcopy referral was 85.1%among women referred because of ASCUS or more severe cytology and 89.3%among those referred because of HSIL or more severe cytology.The positive predictive value (PPV) of referral because of ASCUS or more severe cytology for CIN2 or more severe histology was 16.0%. The unadjusted detection rate of CIN2 or more severe histology was 3.1 per 1,000 screened women (3.0 standardised on the Italian population, truncated 25-64).
authors.affiliation: CPO Piemonte, Turin.
authors.forename: Guglielmo
authors.initials: G
authors.lastname: Ronco
authors.forename: Pamela
authors.initials: P
authors.lastname: Giubilato
authors.forename: Carlo
authors.initials: C
authors.lastname: Naldoni
authors.forename: Manuel
authors.initials: M
authors.lastname: Zorzi
authors.forename: Emanuela
authors.initials: E
authors.lastname: Anghinoni
authors.forename: Aurora
authors.initials: A
authors.lastname: Scalisi
authors.forename: Paolo
authors.initials: P
authors.lastname: Dalla Palma
authors.forename: Loris
authors.initials: L
authors.lastname: Zanier
authors.forename: Alessandra
authors.initials: A
authors.lastname: Barca
authors.forename: Claudio
authors.initials: C
authors.lastname: Angeloni
authors.forename: Maria Donata
authors.initials: MD
authors.lastname: Gaimo
authors.forename: Rocco
authors.initials: R
authors.lastname: Maglietta
authors.forename: Ettore
authors.initials: E
authors.lastname: Mancini
authors.forename: Renato
authors.initials: R
authors.lastname: Pizzuti
authors.forename: Anna
authors.initials: A
authors.lastname: Iossa
authors.forename: Nereo
authors.initials: N
authors.lastname: Segnan
authors.forename: Marco
authors.initials: M
authors.lastname: Zappa
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007558:Italy; D008403:Mass Screening / Q000458:organization & administration / Q000706:statistics & numerical data*; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*